The invention relates to helical retainers, particularly helical retainers adapted for use in laparoscopic surgery. One aspect of the invention provides a helical retainer having a sterile coiled body adapted and configured to secure a surgical suture, the coiled body having a plurality of coils and being formed from a strand and an extension of the strand extending from the coiled body adapted to engage a suture or to be grasped by a holding tool. Another aspect of the invention provides a method of using a helical retainer including the steps of placing a helical retainer at a desired location, the helical retainer comprising a plurality of coils, engaging a suture with the helical retainer at a first engagement point, and engaging the suture with the helical retainer at a second engagement point to secure the suture to the helical retainer.