A laparoscopic fascial closure device (10) for fashioning a secure closure about a laparoscopic puncture site. The device comprises an elongate cannula (12) having proximal (12a) and distal (12b) ends. A needle suture complex (22) is selectively deployed from the distal end (12b) of the device that is operative to deploy a suture across the puncture site from within the body and draw the free ends of the suture outwardly from the body via the laparoscopic port site. The device (10) is configured to be utilized through a ten millimeter or larger laparoscopic port, and is operative to position the suture at the puncture site such that the suture extends in a diametrically-opposed configuration at least 1.0 cm or greater across opposed sides of the puncture site.
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