Wound closure devices are an integral part of nearly every wound care and surgical procedure. Most wound closure devices distribute tension along the entire incision, adding uniform strength to the incision and preventing skin gaps from forming when the skin is stressed. These qualities are necessary to create a strong, flexible barrier to prevent pathogens from entering the incision until the epidermis has fully healed.
With widespread progress occurring in the field of wound treatments under the medical field, there are several highly advanced wound closure devices introduced by numerous companies. These devices promise highly efficient healing of wounds, compared to the traditional old ways. Such an evolution has led to the formation of a distinct next generation wound closure device market.
Advanced wound closure devices provide less risk of infection, since no skin piercing is involved. The next generation wound closure devices are associated with a lower infection rate than for those closed with invasive sutures or staples. Elastic skin closures, reinforced skin closures, antimicrobial sin closures, topical skin adhesives, and flexible wound closure strips are some of the next generation wound closure devices being used on a global scale. Lacerations, surgical incisions, minimally invasive surgery, cosmetic surgery, and noninvasive surgical skin, are key areas where these devices are used.
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Wound healing is a complicated process in which the skin is repaired after the injury. An injury causes a lot of opportunistic infection as the barrier of the skin is broken down. The infection may be bacterial, fungal, viral etc. Wound closure devices help to close the wounds by pulling the edges of wounded skin together. Wound closure devices include the specially designed sutures, mechanical apparatus and staples that help in closing the wound tissue. Sutures are the oldest wound closure devices which are widely used. Sutures can be divided into absorbable (which degrades gradually in the body) and non-absorbable sutures (these sutures are removed after the wound is healed).
Sutures can also be divided into monofilament and multifilament (braided) sutures. Monofilament sutures generate lower tissue reaction as compared to multifilament sutures. Multifilament sutures are therefore used for suturing the wounded skin while the monofilament sutures are used in cardiac and neurosurgery. Usually the staples, endostaples and sutures are used for the acute surgical wounds but not for the chronic wounds unless desired. Each device has its own purpose and size and are therefore used accordingly.
The technologically advanced wound healing devices offer a variety of advantages over the traditional devices. For traditional suturing the doctor needed to be skillful but in case of the staples no skill is required. The amount of time is also saved in case of staples as compared to sutures. Stapler usually is made up of stainless steel and biomaterials to join the tissues together.
The research and development of the industry is focused on making non-invasive devices which will avoid further wounding and will aid the painless healing of wound. Some of the non-invasive wound healing devices available in the market are zip 16, derma clip, clozeX and others. Topical skin adhesives is also a kind of medical device which heals the wound non-invasively. Laparoscopic suturing devices are also the wound healing devices which help in stitching the internal wounds.
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