A firm hand enables choices to face laparoscopically certain intraoperative situations without recurring to a laparotomy. We firmly think that the data of suturing techniques in laparoscopic surgery should be open to every surgeon who would like to follow this minimally invasive approach. 

Performing a nice suture or a knot in laparoscopy without the necessary experience and exercise boosts the operative times. Adequate experience is reached by practicing for some time around the endotrainer or simulator, before performing any operation in which these techniques are necessary. Every laparoscopic surgeon must absolutely learn they. 

Special threads, metal clips, or clips made from reabsorbable material cannot substitute traditional sutures or ligations in each and every situation. Moreover, the high cost from the materials specifically created for laparoscopy through the medical companies speaks in favor of these