Dual insufflation and wound closure devices and methods

A method of suturing a trocar port site wound comprising:

• a) pressing a spring biased plunger of a guide to move radially expanding feet from a biased extended position to a slender configuration, the feet, in the biased extended position, being circumferentially offset to exits of first and second tracks in the guide;
• b) inserting the guide by linear translation in the slender configuration into a wound site created by a trocar, until the retracted feet of the guide are through the surgical wound;
• c) releasing the spring biased plunger of the guide to allow the biased feet to extend radially at opposite locations circumferentially offset to the exits of the first and second tracks;
• d) retracting the guide to position the guide such that the expanded feet are placed against a peritoneal tissue;
• e) grasping a suture with a wound closure device;
• f) passing the suture with said wound closure device through the first track in the guide and into the body cavity at a first position;
• g) releasing the suture at the first position;
• h) retracting the wound closure device from the guide, leaving the suture in place;
• i) inserting the wound closure device in the second track defined within the guide and into the body cavity at a second position laterally spaced from the first position;
• j) retrieving the suture from the first position with the wound closure device, and retracting the wound closure device with the suture from the guide;
• k) pressing the spring biased plunger of the guide to move the radially expanding feet from the biased extended position to the slender configuration;
• l) removing the guide in the slender configuration from the wound site to freely expose suture ends;
• and
• m) tying a knot between the suture ends of the suture to provide closure of the wound.