A method for the placement of sutures in tissue prior to forming an opening in the tissue, the sutures for use in closing the opening, the method includes the steps of passing a first length of suture through a first portion of a tissue in a first direction relative to a target area to be incised, passing the first length of suture through a second portion of the tissue in the first direction, passing a second length of suture through a third portion of the tissue in a second direction relative to the target area to be incised, passing the second length of suture through a fourth portion of the tissue in the second direction, performing a surgical procedure including forming the opening in the tissue, and applying tension to the first length of suture and the second length of suture to close the opening in the tissue.