MediPoint: Hernia Repair - Global Analysis and Market Forecasts

Summary

Dramatic improvements in access to and quality of healthcare in the Asia Pacific region, concurrent with the introduction of next-generation biologic and composite meshes in developed countries and adoption of laparoscopic techniques worldwide, will drive hernia repair market growth in the US, Europe and Asia Pacific. Saturated with numerous players and a library of different products, the fiercely-competitive hernia mesh industry has experienced notable improvements recently in device quality and affordability, as companies strive for increased physician adoption in established markets and strategize entry into new regions.


In light of new these developments, GlobalData has released its medical devices report, “MediPoint: Hernia Repair - Global Analysis and Market Forecasts”, with in-depth analysis of hernia repair market dynamics and actionable-insight into the mesh medical device industry. The report provides a comprehensive evaluation of the global hernia market, including development and sales of inguinal, incisional and umbilical hernia repair products in the US, Germany, Italy, Spain, the UK, France, Brazil, China, India and Japan. Included within is an analysis of the drivers, opportunities and barriers impacting growth in the mesh market worldwide, with in-depth breakdown by surgical technique to highlight the fast adoption of laparoscopic methods. The report identifies and evaluates key trends and unmet needs shaping the global market through 2019, emphasizing testimonials from top physicians around the world who are implanting the devices.

The report provides future sales expectations and discussion of adoption patterns for the various hernia mesh types, including large pore meshes, small pore meshes, composite meshes, 3D meshes, and biological meshes. Furthermore, it provides detailed coverage and analysis of the other factors shaping the global market, including next-generation technologies entering the market, the fall of “watchful waiting”, adoption in developing countries, and the role of group purchasing organizations. The report offers insight into the competitive landscape, including marketed and pipeline products, and quantifies unmet needs worldwide, highlighting opportunities for current and future players.

GlobalData built this report using data and information sourced from secondary sources, as well as primary research interviews with leading Herniologists and General Surgeons around the world, and in-house analysis conducted by GlobalData’s team of industry experts.

Highlights

Key Questions Answered

- One of the key market drivers for hernia repair is adoption of the laparoscopic surgical technique. How will this affect the type of meshes that are utilized? Which countries will experience the highest adoption of the technique? (Q).Which laparoscopic technique will be utilized the most over the forecast?
- Watchful waiting has been the subject of much controversy amongst general surgeons. What are the viewpoints of the major economies on watchful waiting and how will their opinions change over the forecast?
- Group Purchasing Organizations are becoming even more influential in the buying decisions for hospitals. (Q).How can medical device manufacturers best present their hernia mesh product line to achieve GPO selection?
- Improved access to healthcare and larger populations are allowing major emerging economies to occupy larger positions in the global hernia market. (Q).Which countries will experience the largest growth over the forecast and what underlying factors will contribute towards it?

Key Benefits

“What Do Physicians Think” quotes provide a unique insight into how healthcare professionals are reacting to events within the industry, and what their responses could mean for industry strategists. This information is essential for all strategic decision makers in every organization allowing them to act on high quality information.

Scope

- An overview of hernias (inguinal, incisional, and umbilical), which includes epidemiology, pathophysiology, symptoms, diagnosis, and treatment guidelines.
- Coverage of the ten markets, including the United States, the United Kingdom, Italy, Spain, Germany, France, Brazil, Japan, China and India
- Annualized hernia market revenue, annual cost of disease and device adoption patterns from 2010-2012, as well as a seven-year market forecast to 2019. Market valuations are provided for the following markets: Overall Hernia Market, Inguinal Hernia Market, Incisional Hernia Market and Umbilical Hernia Market
- Strategic competitor assessments complete with SWOT analysis and portfolio analysis to highlight the strengths of established and emerging players and identify weaknesses of other market participants.
- Identification of the most important unmet needs and opportunities that companies can capitalize upon to gain a competitive advantage.
- Discussion of the impact of reimbursement on the adoption of more expensive mesh types versus less costly flatsheet meshes.
- Pipeline analysis of the next generation of self-gripping meshes.
- Analysis of the current and future market competition in the global hernia mesh repair market.
- Insightful review of the key industry drivers that underly this market’s growth.

- Isolation of the top impediments to mesh adoption and company entrance into the major geographies
- Direct quotes from Key Opinion Leaders (KOL) currently using the products

Reasons to buy

- Develop business strategies around the trends shaping and driving the global hernia mesh market.
- Drive revenues by understanding the key patterns, innovative products and technologies, market segments, and companies expected to impact the global hernia mesh market in the future.
- Develop and design your in-licensing and out-licensing strategies through a review of pipeline products and technologies, and by identifying the companies with the most robust pipeline.
- Formulate effective sales and marketing strategies by understanding the competitive landscape and by analyzing the performance of various competitors.
- Identify emerging players with potentially strong product portfolios and create effective counter-strategies to gain a competitive advantage.
- Track device sales in the global hernia mesh repair market from 2010-2019.
- Organize your sales and marketing efforts by identifying the market categories and segments that present maximum opportunities for consolidations, investments and strategic partnerships.
- Better understand The scope of this technology for strategic planning to explore opportunities in this growing market

Table Of Contents

Table of Contents

1 Table of Contents 7
1.1 List of Tables 16
1.2 List of Figures 21
2 Introduction 26
2.1 Catalyst 27
3 Disease Overview 28
3.1 Anatomy and Physiology 28
3.1.1 Inguinal Hernias 28
3.1.2 Incisional Hernias 30
3.1.3 Umbilical Hernias 31
3.2 Pathophysiology 32
3.2.1 Inguinal Hernia 32
3.2.2 Incisional Hernia 34
3.2.3 Umbilical Hernia 34
3.3 Clinical Presentation 35
3.3.1 Symptoms 35
3.3.2 Diagnosis 36
3.3.3 Clinical Outcomes 37
3.4 Epidemiology 42
3.4.1 Inguinal Hernias 42
3.4.2 Incisional Hernias 48
3.4.3 Umbilical Hernias 54
3.5 Economic Impact 59
3.5.1 Open versus Laparoscopic Repair 59
3.5.2 Watchful Waiting 60
3.5.3 US 61
3.5.4 European Union 62
3.5.5 APAC 63
3.5.6 South America 63
4 Competitive Assessment 64
4.1 Overview 64
4.2 Large Pore Meshes 65
4.2.1 Overview 65
4.2.2 Angimesh R2 (Angiologica) 68
4.2.3 Assumesh (Assut Europe) 70
4.2.4 Cristalene (Abiss Analytical Biosurgical Systems) 71
4.2.5 Hexapro Mesh (Agency for Medical Innovation) 72
4.2.6 Optilene Mesh (B. Braun) 73
4.2.7 Omyra Mesh (B. Braun) 77
4.2.8 Prolene Soft Mesh (Ethicon) 79
4.2.9 ProLite Ultra Mesh (Atrium Medical) 81
4.2.10 Soft Mesh (C. R. Bard) 83
4.2.11 Surgimesh 1 and 2 and XLIGHT (Aspide Medical) 85
4.2.12 Surgimesh PET 2D (Aspide Medical) 86
4.2.13 Surgimesh WN (Aspide Medical) 88
4.2.14 Ultrapro Mesh (Ethicon) 90
4.2.15 Vypro Mesh (Ethicon) 92
4.3 Small Pore Meshes 93
4.3.1 Overview 93
4.3.2 Bard Mesh (C.R. Bard) 95
4.3.3 Surgipro Flatsheet Mesh (Covidien) 96
4.3.4 Premilene Mesh (B. Braun) 98
4.3.5 Prolene Mesh (Ethicon) 100
4.3.6 ProLite Mesh (Atrium Medical) 102
4.3.7 Repol Angimesh (Angiologica) 104
4.4 Composite Meshes 105
4.4.1 Overview 105
4.4.2 4DDome (Cousin Biotech) 107
4.4.3 B-Foil (Assut Europe) 109
4.4.4 Biomesh CA.B.S Air Composite (Cousin Biotech) 110
4.4.5 C-QUR Mesh (Atrium Medical) 111
4.4.6 C-QUR TacShield (Atrium Medical) 112
4.4.7 C-QUR V-Patch (Atrium Medical) 114
4.4.8 C-QUR CentriFX (Atrium Medical) 115
4.4.9 C-QUR FX Mesh (Atrium Medical) 116
4.4.10 Composix Mesh (C.R. Bard) 117
4.4.11 Parietex Composite (Covidien) 119
4.4.12 Parietex ProGrip Self Fixating Mesh (Covidien) 121
4.4.13 Sorbimesh (Assut Europe) 122
4.4.14 Surgimesh Cible (Aspide Medical) 123
4.4.15 Surgimesh Diablo (Aspide Medical) 125
4.4.16 Surgimesh M.O.P.P. (Aspide Medical) 126
4.4.17 Surgimesh XB (Aspide Medical) 128
4.4.18 Ultrapro Mesh (Ethicon) 130
4.5 3D Meshes 131
4.5.1 Overview 131
4.5.2 3DMax Mesh (C.R. Bard) 134
4.5.3 Bio-A Hernia Plug (W. L. Gore and Associates) 136
4.5.4 Laparomesh (Assut Europe) 138
4.5.5 Perfix Plug (C.R. Bard) 139
4.5.6 ProLoop Mesh (Atrium Medical) 141
4.5.7 Surgimesh Easyplug (Aspide Medical) 142
4.5.8 Surgimesh PET 3D (Aspide Medical) 145
4.5.9 Surgimesh XD (Aspide Medical) 146
4.5.10 Repol Plug Cap (Angiologica) 148
4.6 Biologic Hernia Meshes 149
4.6.1 Overview 149
4.6.2 AlloDerm Regenerative Tissue Matrix (LifeCell) 152
4.6.3 Allomax Surgical Graft (Davol) 154
4.6.4 Biodesign Hernia Graft (Cook Medical) 157
4.6.5 Permacol Surgical Implant (Covidien) 160
4.6.6 Strattice (LifeCell) 161
5 Unmet Needs 163
5.1 Overview 163
5.2 Specialized Laparoscopic Clinics 163
5.3 Increased investigation of TAPP versus TEP procedures 164
5.4 Competitive Pricing for Premium Hernia Meshes 165
5.5 Economic and Financial Impact of Laparoscopic Techniques 166
5.6 Research and Development of Self-Fixating Meshes 167
5.7 Registry for Laparoscopic Hernia Repair 168
6 Pipeline Products 170
6.1 Overview 170
6.2 Clinical Trial Analysis 171
6.2.1 Overview 171
6.2.2 Trials to Watch 171
7 Industry Overview 173
7.1 Procedure Trends 173
7.1.1 Global 173
7.1.2 US 178
7.1.3 France 179
7.1.4 Germany 180
7.1.5 Italy 181
7.1.6 Spain 182
7.1.7 UK 183
7.1.8 Japan 184
7.1.9 Brazil 185
7.1.10 China 186
7.1.11 India 187
7.2 Market Access 188
7.2.1 Cost Concerns 188
7.2.2 Group Purchasing Organizations 189
7.2.3 Distribution Networks 189
7.2.4 Access to Healthcare 190
7.3 Reimbursement Trends 191
7.3.1 Overview 191
7.3.2 US 191
7.3.3 5EU 192
7.3.4 South America 193
7.3.5 APAC 194
7.4 Regulatory Issues/Recalls 195
7.5 Added Indications 195
7.6 Mergers and Acquisitions/Key Partnerships 195
7.6.1 Baxter Acquires Synovis Life Technologies 195
7.6.2 Covidien Acquires Tissue Science Laboratories 196
8 Current and Future Players 197
8.1 Trends in Corporate Strategy 197
8.2 Company Profiles 198
8.2.1 Abiss Analytic Biosurgical Solutions 198
8.2.2 AMI: Agency for Medical Innovation 199
8.2.3 Angiologica 200
8.2.4 Aspide Medical 202
8.2.5 Assut Europe 203
8.2.6 Atrium Medical 204
8.2.7 B. Braun Surgical 206
8.2.8 Cook Medical 208
8.2.9 Cousin Biotech 209
8.2.10 Covidien 211
8.2.11 C.R. Bard 213
8.2.12 Ethicon 215
8.2.13 FEG Textiltechnik mbH 216
8.2.14 Proxy Biomedical 217
8.2.15 TEI Biosciences 218
8.2.16 W. L. Gore and Associates 220
9 Market Drivers, Opportunities and Barriers 223
9.1 Market Drivers 223
9.1.1 Consistent Hernia Prevalence 223
9.1.2 Transition from Open Hernia Repair to Laparoscopic Hernia Repair 223
9.1.3 Fall of Watchful Waiting 225
9.1.4 Residents Being Trained on Laparoscopic Technique 227
9.2 Opportunities 229
9.2.1 Invest in Composite Meshes Designed Specifically for Laparoscopic Repair 229
9.2.2 Market Meshes to Specialized Centers 230
9.2.3 Focus on Countries Experiencing Increasing Composite Mesh Adoption 231
9.2.4 Develop Business Relationships with Robotic Surgery Equipment Manufacturers 232
9.3 Market Barriers 233
9.3.1 Group Purchasing Organizations 233
9.3.2 Reimbursement 234
9.3.3 Cost 235
9.3.4 Self-Gripping Technology 235
9.3.5 Mosquito Net Mesh 237
10 Country Outlooks and Forecasts 239
10.1 Major Markets Overview 239
10.1.1 Overall Hernia Repair Market 239
10.1.2 Overall Inguinal Hernia Repair Market 243
10.1.3 Overall Incisional Hernia Repair Market 245
10.1.4 Overall Umbilical Hernia Repair Market 247
10.2 US 249
10.2.1 Overall Hernia Repair Market 249
10.2.2 Inguinal Hernia Repair Market 252
10.2.3 Incisional Hernia Repair Market 252
10.2.4 Umbilical Hernia Repair Market 253
10.3 France 253
10.3.1 Overall Hernia Repair Market 253
10.3.2 Overall Inguinal Hernia Repair Market 255
10.3.3 Overall Incisional Hernia Repair Market 255
10.3.4 Overall Umbilical Hernia Repair Market 256
10.4 Germany 256
10.4.1 Overall Hernia Repair Market 256
10.4.2 Overall Inguinal Hernia Repair Market 258
10.4.3 Overall Incisional Hernia Repair Market 258
10.4.4 Overall Umbilical Hernia Repair Market 259
10.5 Italy 259
10.5.1 Overall Hernia Repair Market 259
10.5.2 Overall Inguinal Hernia Repair Market 261
10.5.3 Overall Incisional Hernia Repair Market 262
10.5.4 Overall Umbilical Hernia Repair Market 262
10.6 Spain 263
10.6.1 Overall Hernia Repair Market 263
10.6.2 Overall Inguinal Hernia Repair Market 264
10.6.3 Overall Incisional Hernia Repair Market 265
10.6.4 Overall Umbilical Hernia Repair Market 265
10.7 UK 266
10.7.1 Overall Hernia Repair Market 266
10.7.2 Overall Inguinal Hernia Repair Market 267
10.7.3 Overall Incisional Hernia Repair Market 268
10.7.4 Overall Umbilical Hernia Repair Market 268
10.8 Japan 268
10.8.1 Overall Hernia Repair Market 268
10.8.2 Overall Inguinal Hernia Repair Market 270
10.8.3 Overall Incisional Hernia Repair Market 270
10.8.4 Overall Umbilical Hernia Repair Market 270
10.9 Brazil 271
10.9.1 Overall Hernia Repair Market 271
10.9.2 Overall Inguinal Hernia Repair Market 272
10.9.3 Overall Incisional Hernia Repair Market 273
10.9.4 Overall Umbilical Hernia Repair Market 273
10.10 India 273
10.10.1 Overall Hernia Repair Market 273
10.10.2 Overall Inguinal Hernia Repair Market 275
10.10.3 Overall Incisional Hernia Repair Market 275
10.10.4 Overall Umbilical Hernia Repair Market 275
10.11 China 276
10.11.1 Overall Hernia Repair Market 276
10.11.2 Overall Inguinal Hernia Repair Market 277
10.11.3 Overall Incisional Hernia Repair Market 278
10.11.4 Overall Umbilical Hernia Repair Market 278
11 Appendix 279
11.1 Bibliography 279
11.2 Abbreviations 294
11.3 Report Methodology 295
11.3.1 Overview 295
11.3.2 Coverage 295
11.3.3 Primary Research 296
11.3.4 Secondary Research 296
11.3.5 Forecasting Methodology 297
11.4 General Surgeons and Herniologists Included in this Study 298
11.5 About the Authors 300
11.5.1 Joseph A. Gregory, Analyst, Surgical Devices 300
11.5.2 Derek Archila, MBA, Director of Research and Analysis, Medical Devices 300
11.6 Global Head of Healthcare 301
11.6.1 Bonnie Bain, Ph.D., Global Head of Healthcare 301
11.7 About MediPoint 302
11.8 About GlobalData 302
11.9 Disclaimer 302

1.1 List of Tables
Table 1: Layers of the Abdominal Wall 28
Table 2: Distribution by Sex in the Major Markets, 2012 42
Table 3: Inguinal Hernia, Distribution by Age in the Major Markets, 2012 43
Table 4: Hernia Mesh Classifications 64
Table 5: Large Pore SWOT Analysis, 2013 67
Table 6: Product Profile - Angimesh R2 69
Table 7: Product Profile - Assumesh 70
Table 8: Product Profile - Cristalene 72
Table 9: Product Profile - Hexapro Mesh 73
Table 10: Product Profile - Optilene Mesh 74
Table 11: Product Profile - Optilene Mesh LP 75
Table 12: Product Profile - Optilene Mesh Elastic 76
Table 13: Product Profile - Omyra Mesh 78
Table 14: Product Profile - Prolene Soft Mesh 80
Table 15: Product Profile - ProLite Ultra Mesh 82
Table 16: Product Profile - Soft Mesh 84
Table 17: Product Profile - Surgimesh 1 and 2 and XLIGHT 85
Table 18: Product Profile - Surgimesh PET 2D 87
Table 19: Product Profile - Surgimesh WN 89
Table 20: Product Profile - Ultrapro Mesh 91
Table 21: Product Profile - Vypro Mesh 92
Table 22: Small Pore SWOT Analysis, 2013 94
Table 23: Product Profile - Bard Mesh 96
Table 24: Product Profile - Surgipro Flatsheet Mesh 97
Table 25: Product Profile - Premilene Mesh 98
Table 26: Product Profile - Premilene Mesh Plug 99
Table 27: Product Profile - Prolene Mesh 101
Table 28: Product Profile - ProLite Mesh 103
Table 29: Product Profile - Repol Angimesh 104
Table 30: Composite Meshes SWOT Analysis, 2013 106
Table 31: Product Profile - 4DDome 108
Table 32: Product Profile - B-Foil 109
Table 33: Product Profile - Biomesh CA.B.S. Air Composite 110
Table 34: Product Profile - C-QUR Mesh 112
Table 35: Product Profile - C-QUR TacShield 113
Table 36: Product Profile - C-QUR V-Patch 114
Table 37: Product Profile - C-QUR CentriFX 115
Table 38: Product Profile - C-QUR FX Mesh 116
Table 39: Product Profile - Composix Mesh 118
Table 40: Product Profile - Parietex Composite 120
Table 41: Product Profile - Parietex ProGrip Self Fixating Mesh 121
Table 42: Product Profile - Sorbimesh 123
Table 43: Product Profile - Surgimesh Cible 124
Table 44: Product Profile - Surgimesh Diablo 126
Table 45: Product Profile - Surgimesh M.O.P.P. 127
Table 46: Product Profile - Surgimesh XB 129
Table 47: Product Profile - Ultrapro Mesh 130
Table 48: 3D Meshes SWOT Analysis, 2013 133
Table 49: Product Profile - 3DMax Mesh 135
Table 50: Product Profile - Bio-A Hernia Plug 137
Table 51: Product Profile - Laparomesh 139
Table 52: Product Profile - Perfix Plug 140
Table 53: Product Profile - ProLoop FX Mesh 141
Table 54: Product Profile - Easyplug 144
Table 55: Product Profile - Surgimesh PET 3D 146
Table 56: Product Profile - Surgimesh XD 147
Table 57: Product Profile - Repol Plug Cap 148
Table 58: Biological Meshes SWOT Analysis, 2013 150
Table 59: Product Profile - AlloDerm Regenerative Tissue Matrix 153
Table 60: Product Profile - Allomax Surgical Graft 155
Table 61: Product Profile - Biodesign Hernia Graft 158
Table 62: Product Profile - Permacol Surgical Implant 160
Table 63: Product Profile - Strattice 161
Table 64: Overall Unmet Needs - Current Level of Attainment and Importance 163
Table 65: Company Portfolio - Abyss Analytic Biosurgical Solutions 198
Table 66: Abyss Analytic Biosurgical Solutions SWOT Analysis, 2013 199
Table 67: Company Portfolio - AMI: Agency for Medical Innovation 199
Table 68: AMI: Agency for Medical Innovation SWOT Analysis, 2013 200
Table 69: Company Portfolio - Angiologica 200
Table 70: Angiologica SWOT Analysis, 2012 201
Table 71: Company Portfolio - Aspide Medical 202
Table 72: Aspide Medical SWOT Analysis, 2013 203
Table 73: Company Portfolio - Assut Europe 203
Table 74: Assut Europe SWOT Analysis, 2013 204
Table 75: Company Portfolio - Atrium Medical 204
Table 76: Atrium Medical SWOT Analysis, 2013 205
Table 77: Company Portfolio - B. Braun 207
Table 78: B. Braun SWOT Analysis, 2012 208
Table 79: Company Portfolio - Cook Medical 208
Table 80: Cook Medical SWOT Analysis, 2013 209
Table 81: Company Portfolio - Cousin Biotech 210
Table 82: Cousin Biotech SWOT Analysis, 2013 210
Table 83: Company Portfolio - Covidien 211
Table 84: Covidien SWOT Analysis, 2013 212
Table 85: Company Portfolio - C. R. Bard 213
Table 86: C. R. Bard SWOT Analysis, 2013 214
Table 87: Company Portfolio - Ethicon 215
Table 88: Ethicon SWOT Analysis, 2013 216
Table 89: Company Portfolio - FEG Textiltechnik 216
Table 90: FEG Textiltechnik SWOT Analysis, 2013 217
Table 91: Company Portfolio - Proxy Biomedical 218
Table 92: Proxy Biomedical SWOT Analysis, 2013 218
Table 93: Company Portfolio - TEI Biosciences 219
Table 94: TEI Biosciences SWOT Analysis, 2013 219
Table 95: Company Portfolio - W. L. Gore and Associates 221
Table 96: W. L. Gore and Associates SWOT Analysis, 2012 222
Table 97: Laparoscopic Adoption Across the Major Markets, 2012 and 2019 224
Table 98: Composite Mesh Adoption in Inguinal Hernia Repair across Major Markets, 2012 and 2019 231
Table 99: Composite Mesh Adoption in Incisional Hernia Repair across Major Markets, 2012 and 2019 232
Table 100: Global Hernia Repair Sales Forecast ($bn) Forecast, 2010-2019 239
Table 101: Trends in Laparoscopic Inguinal Hernia Repair for Major Markets, 2012 and 2019 245
Table 102: Trends in Laparoscopic Incisional Hernia Repair for Major Markets, 2012 and 2019 247
Table 103: Trends in Laparoscopic Umbilical Hernia Repair for Major Markets, 2012 and 2019 249
Table 104: US Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 250
Table 105: France Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 254
Table 106: Germany Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 257
Table 107: Italy Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 260
Table 108: Spain Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 263
Table 109: UK Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 266
Table 110: Japan Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 269
Table 111: Brazil Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 271
Table 112: India Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 274
Table 113: China Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 276

1.2 List of Figures
Figure 1: Inguinal Hernia 29
Figure 2: Layers of the Abdominal Wall 30
Figure 3: Anatomy of an Umbilical Hernia 31
Figure 4: Indirect Inguinal Hernia 32
Figure 5: Direct Inguinal Hernia 33
Figure 6: Entrance Points for Laparoscopic Inguinal Hernia Repair 40
Figure 7: Prevalence of Total Inguinal Hernias in the US, 2010-2019 45
Figure 8: Prevalence of Total Inguinal Hernias in the 5EU, 2010-2019 46
Figure 9: Prevalence of Total Inguinal Hernias in South America, 2010-2019 47
Figure 10: Prevalence of Total Inguinal Hernias in APAC, 2010-2019 48
Figure 11: Prevalence of Total Incisional Hernias in the US, 2010-2019 50
Figure 12: Prevalence of Total Incisional Hernias in the 5EU, 2010-2019 51
Figure 13: Prevalence of Total Incisional Hernias in South America, 2010-2019 52
Figure 14: Prevalence of Total Incisional Hernias in APAC, 2010-2019 53
Figure 15: Prevalence of Total Umbilical Hernias in the US, 2010-2019 55
Figure 16: Prevalence of Total Umbilical Hernias in the 5EU, 2010-2019 56
Figure 17: Prevalence of Total Umbilical Hernias in South America, 2010-2019 57
Figure 18: Prevalence of Total Umbilical Hernias in APAC, 2010-2019 58
Figure 19: Global Company Market Share, Large Pore Meshes, 2012 68
Figure 20: Structure of Angimesh R2 68
Figure 21: Structure of Assumesh 70
Figure 22: Structure of Cristalene 71
Figure 23: Structure of Hexapro Mesh 72
Figure 24: Structure of Optilene Mesh 74
Figure 25: Structure of Optilene Mesh LP 75
Figure 26: Structure of Optilene Mesh Elastic 76
Figure 27: Structure of Omyra Mesh 77
Figure 28: Structure of Prolene Soft Mesh 79
Figure 29: Structure of ProLite Ultra Mesh 81
Figure 30: Structure of Soft Mesh 83
Figure 31: Structure of Surgimesh 1 and 2 and XLIGHT 85
Figure 32: Structure of Surgimesh PET 2D 86
Figure 33: Structure of Surgimesh WN 88
Figure 34: Structure of Ultrapro Mesh 90
Figure 35: Structure of Vypro Mesh 92
Figure 36: Global Company Market Share, Small Pore Meshes, 2012 95
Figure 37: Structure of Bard Mesh 95
Figure 38: Structure of Surgipro Flatsheet Mesh 96
Figure 39: Structure of Premilene Mesh 98
Figure 40: Structure of Premilene Mesh Plug 99
Figure 41: Structure of Prolene Mesh 100
Figure 42: Structure of ProLite Mesh 102
Figure 43: Structure of Repol Angimesh 104
Figure 44: Global Company Market Share, Composite Meshes, 2012 106
Figure 45: Structure of the 4DDome 107
Figure 46: Structure of B-Foil 109
Figure 47: Structure of the Biomesh CA.B.S. Air Composite 110
Figure 48: Structure of C-QUR Mesh 111
Figure 49: Structure of C-QUR TacShield 112
Figure 50: Structure of C-QUR V-Patch 114
Figure 51: Structure of C-QUR CentriFX 115
Figure 52: Structure of C-QUR FX Mesh 116
Figure 53: Structure of Composix Mesh 117
Figure 54: Structure of Parietex Composite 119
Figure 55: Structure of Parietex ProGrip Self Fixating Mesh 121
Figure 56: Structure of Sorbimesh 122
Figure 57: Structure of Surgimesh Cible 123
Figure 58: Structure of Surgimesh Diablo 125
Figure 59: Structure of Surgimesh M.O.P.P. 126
Figure 60: Structure of Surgimesh XB 128
Figure 61: Structure of Ultrapro Mesh 130
Figure 62: Global Company Market Share, Composite Meshes, 2012 134
Figure 63: Structure of the 3DMax Mesh 134
Figure 64: Structure of the Bio-A Hernia Plug 136
Figure 65: Structure of Laparomesh 138
Figure 66: Structure of Perfix Plug 139
Figure 67: Structure of ProLoop Mesh 141
Figure 68: Structure of Surgimesh Easyplug Standard 142
Figure 69: Structure of Surgimesh WN Easyplug 143
Figure 70: Structure of Surgimesh WN Easyplug No Touch 143
Figure 71: Structure of Surgimesh PET 3D 145
Figure 72: Structure of Surgimesh XD 146
Figure 73: Structure of Repol Plug Cap 148
Figure 74: Global Company Market Share, Biological Meshes, 2012 151
Figure 75: Structure of the AlloDerm Regenerative Tissue Matrix 153
Figure 76: Structure of the Allomax Surgical Graft 155
Figure 77: Structure of the Biodesign Hernia Graft 157
Figure 78: Structure of the Permacol Surgical Implant 160
Figure 79: US Hernia Repair Procedure Volumes, 2010 to 2019 174
Figure 80: 5EU Hernia Repair Procedure Volumes, 2010 to 2019 175
Figure 81: South American Hernia Repair Procedure Volumes, 2010 to 2019 176
Figure 82: APAC Hernia Repair Procedure Volumes, 2010 to 2019 177
Figure 83: Open versus Laparoscopic Procedure Volumes, US, 2010-2019 178
Figure 84: Open versus Laparoscopic Procedure Volumes, France, 2010-2019 179
Figure 85: Open versus Laparoscopic Procedure Volumes, Germany, 2010-2019 180
Figure 86: Open versus Laparoscopic Procedure Volumes, Italy, 2010-2019 181
Figure 87: Open versus Laparoscopic Procedure Volumes, Spain, 2010-2019 182
Figure 88: Open versus Laparoscopic Procedure Volumes, UK, 2010-2019 183
Figure 89: Open versus Laparoscopic Procedure Volumes, Japan, 2010-2019 184
Figure 90: Open versus Laparoscopic Procedure Volumes, Brazil, 2010-2019 185
Figure 91: Open versus Laparoscopic Procedure Volumes, China, 2010-2019 186
Figure 92: Open versus Laparoscopic Procedure Volumes, India, 2010-2019 187
Figure 93: Global Hernia Repair Sales Forecast ($m) 2010-2019 240
Figure 94: Composition of Global Hernia Market, 2012 and 2019 241
Figure 95: Global Hernia Mesh Repair Market by Geography, 2012 and 2019 242
Figure 96: Global Inguinal Hernia Mesh Repair Market by Geography, 2012 and 2019 244
Figure 97: Global Incisional Hernia Mesh Repair Market by Geography, 2012 and 2019 246
Figure 98: Global Umbilical Hernia Mesh Repair Market by Geography, 2012 and2019 248
Figure 99: US Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 251
Figure 100: France Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 254
Figure 101: Germany Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 257
Figure 102: Italy Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 261
Figure 103: Spain Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 264
Figure 104: UK Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 267
Figure 105: Japan Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 269
Figure 106: Brazil Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 272
Figure 107: India Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 274
Figure 108: China Hernia Mesh Repair Sales ($m) Forecast, 2010-2019 277



Companies Mentioned

Abiss Analytic Biosurgical Solutions
AMI: Agency for Medical Innovation
Angiologica
Aspide Medical
Assut Europe
Atrium Medical
B. Braun Surgical
Cook Medical
Cousin Biotech
Covidien
C.R. Bard
Ethicon
FEG Textiltechnik mbH
Proxy Biomedical
TEI Biosciences
W. L. Gore and Associates

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