Multi-port closure device, corresponding suture material and mesh, a method for repairing and closing a fascial defect, and related devices and methods

A method of repairing and securely closing a fascial defect using a multi-port closure device, the method comprising:

• installing a first elongate suture material within a first predetermined suture pathway defining a first position disposed a radial distance from a center of the fascial defect located about a perimeter region of the fascial defect, and further defining a second position substantially opposite the first position disposed substantially the same radial distance from the center of the fascial defect located about the perimeter region, a first end portion of the first elongate suture material disposed at the first position and an opposite second end portion disposed at the second position, wherein a first orientation from the first end portion to the second end portion substantially bisects the center of the fascial defect;
• substantially simultaneously with the installing the first elongate suture material, installing a second elongate suture material within a second predetermined suture pathway, the second predetermined suture pathway defining a third position disposed substantially the same radial distance from the center of the fascial defect as the first and second positions located about the perimeter region of the fascial defect, and further defining a fourth position substantially opposite the third position disposed substantially the same radial distance from the center of the fascial defect about the perimeter region, a third end portion of the second elongate suture material disposed at the third position and an opposite fourth end portion of the second elongate suture material disposed at the fourth position, wherein a second orientation from the third end portion to the fourth end portion is substantially perpendicular to the first orientation and bisects the center of the fascial defect;
• closing the fascial defect including engaging the first elongate suture material concurrent with the second elongate suture material and simultaneously reducing spacing an equal amount between each of the first, second, third and fourth end portions with respect to the center of the fascial defect;
• and
• securing each of the first, second, third and fourth end portions about the center of the fascial defect at a bite position corresponding with each of the end portions;
• wherein each of the bite position is located equidistant from the fascial defect center at transverse orientations across the center of the fascial defect.