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The device introduces the suture through the muscle, fascia, and peritoneal layers under direct laparoscopic vision, drops the suture, picks it up at the opposite side of the opening, and is withdrawn grasping the suture. The surgeon completes the mass closure of the layers by tying the suture below the skin. EndoMed Systems Closure device is available with diameter of 2.3mm in working length of 140mm .