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Healthcare and Pharmaceuticals

Global Hernia Repair Devices Market...

Historical and Forecast Market Trends

2018-34

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The increased incidence of hernia around the globe, as well as developments in treatment methods and procedures, including meshes and robotic surgical procedures, are projected to boost the global hernia repair devices market. Major markets are likely to be North America, Europe, and Asia Pacific. Hernia repair is one of the most common surgical operations performed worldwide. An increase in the number of abdominal procedures, as well as co-morbidities like obesity, has resulted in a higher risk of hernia formation and recurrence. The market is likely to be driven by the prevalence of hernias and post-operative complications.

For the treatment of hernia, a surgical procedure may be performed. These include open surgery, laparoscopic surgery and robotic hernia repair. Some modern surgical treatments are explained below.

Laparoscopic hernia repair involves the making of multiple small incisions or keyholes in the abdomen. Camera guided instruments are employed through these incisions to repair the hernia with mesh, stitches and/or mechanical fixation. Such minimally invasive procedures offer advantages such as reduced pain, shorter stays at the hospital, quicker recovery, and lesser complications.  Laparoscopic hernia repair techniques include:

TEP (Totally extraperitoneal) - This technique is generally employed for inguinal or femoral hernia. Under this approach, surgical dissection and mesh placement is done outside of peritoneal cavity. Mesh does not touch bowel or visceral organs.

eTEP (Extended view totally extraperitoneal) - Similar to TEP, but may be employed for spigelian, ventral, incisional and large inguinal hernias.

eTEP Rives-Stoppa - The approach is generally used for larger incisional ventral hernia with abdominal wall reconstruction. In this technique, mesh is placed in retro-rectus position in front of posterior sheath, away from visceral bowel contents.

eTEP TAR - This technique is an extension of eTEP Rives-Stoppa. A transversus abdominis muscle release (TAR) is included in the procedure.  This approach is often employed for larger incisional ventral hernia with abdominal wall reconstruction.

TAPP/Plus (Transabdominal preperitoneal with closure of defect) - This procedure gives best results when carried out robotically, and is used for ventral, incisional, and flank hernia with abdominal wall reconstruction.

IPOM (Intraperitoneal onlay mesh repair) - A coated mesh is placed in the abdominal cavity, and a relatively quick surgery carried out ventral and incisional hernia. Particularly useful for elderly/weak patients who cannot bear a lengthy anaesthetic.

Robotic hernia repair – In this technique, the surgeon sits at a console and controls the surgical instruments from the console. Robotic surgery offers advantages such as three-dimensional images of the inside of the abdomen, smaller scars, and less pain.

Surgical meshes are a tested hernia treatment device. Modern meshes are continually being upgraded and improved, and thinner, more bio-compatible alternatives have become available. Such advancements have caused a reduction in several complications linked with earlier meshes, and led to enhanced outcomes. One such improvement in mesh technology has been the introduction of absorbable or resorbable mesh which dissolve into the patient’s own tissue with time leave behind just scar tissue.

Biological meshes are made using human or animal donor tissue. Like an absorbable synthetic mesh, the biological mesh is employed to form a support for the native scar tissue to occur and close the hernia defect. However, biological and absorbable meshes have not been proven to repair hernias, and the recurrence rate of hernias is high with the deployment of such meshes. Currently, these meshes are used when there is an infection in the surgical field.

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Market Analysis by Product, Procedure, Surgery Type, and Region:

  • By product, the market is segmented into Polymeric and Prosthetic Mesh, Endoscopy Instruments, Surgical Instruments, Biological Materials, and Others.
  • By procedure, the market is classified into Open Surgery, Tension-Free Repair, Laparoscopic Surgery, and Others.
  • By surgery type, the market is divided into Inguinal Hernia, Umbilical Hernia, Incisional Hernia, Femoral Hernia, and Others.
  • By region, the market is segmented into North America, Europe, Asia Pacific, Latin America, Middle East and Africa.

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