A Novel MechANicAl ApproAch to WouNd closure: desigN ANd evAluAtioN of A BilAterAl exterNAl teNsioN device

Abstract

Wounds are injuries or breaks in the integrity of the skin or deep tissues, resulting from various factors such as accidents, surgical interventions, or certain chronic diseases. They vary in type, depth, and severity. Wounds are considered health problems that often require precise medical intervention due to potential complications such as infection, delayed wound healing, and the formation of pathological scars. Therefore, the method of wound closure becomes a fundamental element in the success of treatment and in improving functional and cosmetic postoperative outcomes. This wound closure mechanism is based on a theoretical study of healing mechanisms, focusing on the interaction between cellular and mechanical factors, particularly the role of tension forces in bringing wound edges closer together and regenerating tissues. On the practical side, a unique device has been designed and developed for sutureless, non-surgical wound closure. It is characterized by the gradual and controlled application of tension, which maintains the stability of the wound edges and minimizes skin stretching. Experimental results have demonstrated the device's effectiveness in accelerating the healing process, reducing inflammation, and preventing scarring, compared to traditional closure methods. The study concludes that traction closure is a promising and safe technique for wound treatment, with potential for development and application in clinical practice. To analyze the need for this device and assess its adoptability, a survey was conducted targeting all segments of the population (1407 respondents). The results of this online survey were as follows: 61.3% expressed pain and fear associated with traditional suturing; 60.7% indicated that pain reduction