Since the origins of surgery many millennia ago, the goal of caring for a wound was simply healing. As the complexity of surgical procedures evolved, the same realistic outcome remained the same, that being a strong, stable closure that yields a long term, pain free, infection resistant closure. With the advent of minimally invasive operations, new parameters emerged. Shorter incisions, faster recovery, and smaller, more aesthetically pleasing scars.
Surgeons today want, and for that matter need ( read require by third parties and regulators) all of the above, plus quality and value. Today's management of wounds need to employ strategy and new technologies to yield efficiency and cost savings. This implies shorter hospital stays, and the ability at times to manage complex wounds on an outpatient basis. The strategy and technology needs to have a component to manage contamination and infection expediently, and in a low cost way, as more and more carriers refuse to reimburse for certain post operative wound complications. All this, in a plan that can be executed in a fairly straightforward fashion, such that all levels of health care professionals can help with the care episode, irrespective of specialty.
And what do patients want? All this, done and completed yesterday and without traveling out of town!