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Asia-Pacific: Surgical Procedure Volumes

  • September 2015
  • -
  • Medtech Insight

This report examines healthcare trends in Asia-Pacific countries (Japan, China, South Korea, India, Thailand, Vietnam, Malaysia, and Australia), as well as detailed analysis of surgical procedure volumes in the region as a whole and in each individual country. Surgical procedures covered by this report include cardiovascular and peripheral vascular procedures (e.g., CABG, PTCA, congenital heart defect repair, heart valve repair and replacement, and pacemaker implantation), cosmetic procedures (e.g., breast augmentation, eyelid surgery, facelift/necklift surgery, rhinoplasty, liposuction, and other cosmetic surgeries), organ transplantation (e.g., heart, kidney, and liver transplantation), neurologic procedures (e.g., craniotomy, CSF fluid shunting, ICP monitoring, and stereotaxis), OB/GYN procedures (e.g., c-section, hysterectomy, hysteroscopy, and tubal ligation), ophthalmic procedures (e.g., cataract surgery, corneal transplantation, LASIK, LASEK, and photorefractive keratomileusis), orthopedic and spine procedures (e.g., fracture management, joint replacement, arthroscopic surgery, artificial disc implantation, and spinal fusion), ENT procedures (e.g., adenoidectomy and tonsillectomy), urologic procedures (e.g., bladder neck hypermobility correction, intrinsic sphincter deficiency correction, prostatectomy, and prostatic urethral stenting), and general surgical procedures (e.g., appendectomy, bariatric surgery, cholecystectomy, colectomy, inguinal hernia repair, and liver biopsy).

During the forecast period covered by this report, combined surgical procedure volumes in the Asia-Pacific countries covered by this report are projected to increase from 70.8 billion in 2014 to 99.7 billion in the year 2019. Obstetric/gynecologic procedures account for the most surgeries, with 34.2%, followed by ophthalmic procedures with 20.3%, general surgical procedures with 19.4%, orthopedic and spine procedures with 18.9%, cosmetic procedures with 2.6%, cardiovascular and peripheral vascular procedures with 1.8%, ENT procedures with 1.5%, neurologic procedures with 0.8%, urologic procedures with 0.4%, and organ transplantation procedures with the remaining 0.1%.

Table Of Contents

Asia-Pacific: Surgical Procedure Volumes
TABLE OF CONTENTS

EXECUTIVE SUMMARY
a Trends in Cardiovascular and Peripheral Vascular Disorders
b Trends in Cosmetic Surgeries
c Trends in Major Organ Failures
d Trends in Neurological Disorders
e Trends in Obstetrics/Gynecology Disorders and Issues
f Trends in Ophthalmic Disorders
g Trends in Orthopedic and Spine Disorders
h Trends in Otorhinolaryngologic Disorders
i Trends in Urological Disorders
j Trends in General Surgeries
k Japan: Surgical Procedure Volumes
l China: Surgical Procedure Volumes
m South Korea: Surgical Procedure Volumes
n India: Surgical Procedure Volumes
o Thailand: Surgical Procedure Volumes
p Vietnam: Surgical Procedure Volumes
q Malaysia: Surgical Procedure Volumes
r Australia: Surgical Procedure Volumes

1 ASIA-PACIFIC: TRENDS IN SURGICAL PROCEDURE VOLUMES
11 Trends in Cardiovascular and Peripheral Vascular Disorders
111 Arrhythmia
112 Coronary Artery Disease
113 Congenital Heart Disease
114 Peripheral Vascular Disease
115 Structural Heart Diseases
116 Surgical Procedures for Treatment of Cardiovascular and Peripheral Vascular Disorders
1161 Coronary Artery Bypass Grafting Surgery
1162 Percutaneous Transluminal Coronary Angioplasty/Coronary Stenting
1163 Congenital Heart Defect Repair
1164 Heart Valve Repair and Replacement
1165 Pacemaker Implantation
12 Trends in Cosmetic Surgeries
121 Breast Augmentation
122 Eyelid Surgery
123 Facelift/Necklift Surgery
124 Rhinoplasty
125 Liposuction
126 Other Cosmetic Surgeries
13 Trends in Major Organ Failures
131 Heart Failure
132 Kidney Failure
1321 Chronic Renal Failure
133 Liver Failure
134 Surgical Transplantation Procedures for Failed Organs
1341 Heart Transplantation
1342 Kidney Transplantation
1343 Liver Transplantation
14 Trends in Neurological Disorders
141 Brain Tumors
142 Cerebral Aneurysm
143 Head Trauma
144 Surgical Procedures for Treatment of Neurological Disorders
1441 Craniotomy
1442 Cerebrospinal Fluid Shunting
1443 Intracranial Pressure Monitoring
1444 Stereotaxis
15 Trends in Obstetrics/Gynecology Disorders and Issues
151 Cervical, Ovarian and Vaginal Cancers
152 Menorrhagia
153 Endometriosis
154 Uterine Fibroids
155 Surgical Procedures for Treatment of Obstetrics/Gynecology Disorders
1551 Cesarean Section
1552 Hysterectomy
1553 Hysteroscopy
1554 Tubal Ligation
16 Trends in Ophthalmic Disorders
161 Cataract
162 Astigmatism
163 Hyperopia
164 Myopia
165 Corneal Disease
166 Surgical Procedures for Treatment of Ophthalmic Disorders
1661 Cataract Surgery and Intraocular Lens Implantation
1662 Corneal Transplantation
1663 Laser Assisted In Situ Keratomileusis Surgery (LASIK)
1664 Laser Epithelial Keratomileusis (LASEK)
1665 Photorefractive Keratectomy
17 Trends in Orthopedic and Spine Disorders
171 Osteoporosis
172 Joint Failure
1721 Osteoarthritis
1722 Hip Failure
1723 Arthritis
1724 Injuries
173 Degenerative Disc Disease
174 Disc Herniation
175 Scoliosis
176 Surgical Procedures for Treatment of Orthopedic and Spine Disorders
1761 Fracture Management
1762 Joint Replacement
17621 Hip Replacement
17622 Knee Replacement
17623 Shoulder Replacement
1763 Arthroscopic Surgery
1764 Artificial Disc Implantation
1765 Spine Fusion
18 Trends in Otorhinolaryngologic Disorders
181 Adenoidectomy
182 Tonsillectomy
19 Trends in Urological Disorders
191 Obstructive Uropathy
192 Urinary Incontinence
193 Bladder Neck Hypermobility
194 Kidney Stones
195 Surgical Procedures for Treatment of Urological Disorders
1951 Bladder Neck Hypermobility Correction
1952 Intrinsic Sphincter Deficiency Correction
1953 Prostatectomy
1954 Prostatic Urethral Stenting
110 Trends in General Surgery Procedures
1101 Appendectomy
1102 Bariatric Surgery
1103 Cholecystectomy
1104 Colectomy
1105 Inguinal Hernia Repair
1106 Liver Biopsy

Exhibit 1-1: Asia-Pacific, Coronary Artery Bypass Grafting Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 1-2: Asia Pacific, Percutaneous Transluminal Coronary Angioplasty/Coronary Stenting, Procedure Volumes Forecast, 2014-2019
Exhibit 1-3: Asia-Pacific, Congenital Heart Defect Repair, Procedure Volumes Forecast, 2014-2019
Exhibit 1-4: Asia-Pacific, Heart Valve Repair, Procedure Volumes Forecast, 2014-2019
Exhibit 1-5 Asia-Pacific, Heart Valve Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 1-6 Asia-Pacific, Pacemaker Implantation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-7: Asia-Pacific, Breast Augmentation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-8: Asia-Pacific, Eyelid Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 1-9: Asia-Pacific, Facelift and Necklift Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 1-10: Asia-Pacific, Rhinoplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 1-11: Asia-Pacific, Liposuction, Procedure Volumes Forecast, 2014-2019
Exhibit 1-12: Asia-Pacific, Other Cosmetic Surgeries, Procedure Volumes Forecast, 2014-2019
Exhibit 1-13: Asia-Pacific, Heart Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-14: Asia-Pacific, Kidney Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-15: Asia-Pacific, Liver Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-16: Asia-Pacific, Craniotomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-17: Asia-Pacific, Cerebrospinal Fluid Shunting, Procedure Volumes Forecast, 2014-2019
Exhibit 1-18: Asia-Pacific, Intracranial Pressure Monitoring, Procedure Volumes Forecast, 2014-2019
Exhibit 1-19: Asia-Pacific, Stereotaxis, Procedure Volumes Forecast, 2014-2019
Exhibit 1-20: Asia-Pacific, Caesarean Section, Procedure Volumes Forecast, 2014-2019
Exhibit 1-21: Asia-Pacific, Hysterectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-22: Asia-Pacific, Hysteroscopy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-23: Asia-Pacific, Tubal Ligation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-24: Asia-Pacific, Cataract Surgery and IOL Implantation, 2014-2019
Exhibit 1-25: Asia-Pacific, Corneal Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-26: Asia-Pacific, LASIK, Procedure Volumes Forecast, 2014-2019
Exhibit 1-27: Asia-Pacific, LASEK, Procedure Volumes Forecast, 2014-2019
Exhibit 1-28: Asia-Pacific, Photorefractive Keratotomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-29: Asia-Pacific, Fracture Management, Procedure Volumes Forecast, 2014-2019
Exhibit 1-30: Asia-Pacific, Hip Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 1-31: Asia-Pacific, Knee Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 1-32: Asia-Pacific, Shoulder Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 1-33: Asia-Pacific, Arthroscopic Surgeries, Procedure Volumes Forecast, 2014-2019
Exhibit 1-34: Asia-Pacific, Artificial Disc Implantation, Procedure Volumes Forecast, 2014-2019
Exhibit 1-35: Asia-Pacific, Spinal Fusion, Procedure Volumes Forecast, 2014-2019
Exhibit 1-36: Asia-Pacific, Adenoidectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-37: Asia-Pacific, Tonsillectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-38: Asia-Pacific, Bladder Neck Hypermobility Correction, Procedure Volumes Forecast, 2014-2019
Exhibit 1-39: Asia-Pacific, Intrinsic Sphincter Deficiency Correction, Procedure Volumes Forecast, 2014-2019
Exhibit 1-40: Asia-Pacific, Prostatectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-41: Asia-Pacific, Prostatic Urethral Stenting, Procedure Volumes Forecast, 2014-2019
Exhibit 1-42: Asia-Pacific, Appendectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-43: Asia-Pacific, Bariatric Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 1-44: Asia-Pacific, Cholecystectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-45: Asia-Pacific, Colectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 1-46: Asia-Pacific, Inguinal Hernia Repair, Procedure Volumes Forecast, 2014-2019
Exhibit 1-47: Asia-Pacific, Liver Biopsy, Procedure Volumes Forecast, 2014-2019

2 JAPAN: SURGICAL PROCEDURE VOLUMES
21 Overview of the Japanese Healthcare Structure
211 Healthcare Funding and Health Insurance in Japan
212 Reimbursement Trends in Japan
22 Japanese Surgical Procedures: Key Trends
221 Key Drivers
2211 Increasing Prevalence of Diabetes and Aging Population to Drive Cardiovascular Surgeries in Japan
2212 Aging Population to Drive Heart Valve Surgeries in Japan
2213 Increasing Prevalence of Lung Cancer to Drive General Thoracic Surgeries in Japan
222 Key Challenges
2221 Falling Birth Rates to Reduce Congenital Defect Corrections
2222 Decline in Smoking and Hypertension to Reduce CVD Surgeries
2223 Pressure to Decrease Government Healthcare Spending to Reduce Surgical Procedure Volumes
2224 “Device Lag” to Reduce Growth in Number of New Surgeries
23 Minimally Invasive Surgeries in Japan: Key Trends
24 Forecasts for Surgical Procedure Volumes in Japan
241 Cardiovascular and Peripheral Vascular Surgeries in Japan
242 Cosmetic Surgeries in Japan
243 Organ Transplants in Japan
244 Neurosurgeries in Japan
245 Obstetrics and Gynecology Surgeries in Japan
246 Ophthalmic Surgeries in Japan
247 Orthopedic and Spine Surgeries in Japan
248 Otorhinolaryngologic Surgeries in Japan
249 Urologic Surgeries in Japan
2410 General Surgeries in Japan

Exhibit 2-1: Japan, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-2: Japan, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-3: Japan, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 2-4: Japan, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-5: Japan, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-6: Japan, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-7: Japan, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-8: Japan, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-9: Japan, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-10: Japan, General Surgery, Procedure Volumes Forecast, 2014-2019

3 CHINA: SURGICAL PROCEDURE VOLUMES
31 Overview of the Chinese Healthcare Structure
311 Healthcare Funding and Health Insurance in China
312 Reimbursement Trends in China
32 Chinese Surgical Procedures: Key Trends
321 Key Drivers
3211 Minimally Invasive Shunting to Drive Neurosurgery Procedure Volumes
3212 Increased Demand for Aesthetic Perfection in Women to Drive Cosmetic Surgery Procedure Volumes
3213 Despite Government Efforts Towards Prevention and Reduction of Mortality Due to CVD, Procedures Likely to Soar
3214 Increasing Road Accidents in China to Drive Trauma and Orthopedic and Neurosurgical Procedure Volumes
3215 Increasing Prevalence of Cancer and Extended Insurance Schemes to Drive Surgical Procedure Volumes
322 Key Challenges
3221 Lack of Complete Reimbursement for Cancer Care to Reduce Growth in Oncology Procedure Volumes
3222 Limited Number of Organ Donations to Reduce Transplantation Procedure Volumes
3223 Lack of Cataract Surgeons to Reduce Cataract Surgery Procedure Volumes
3224 Urban-Rural Divide and Accessibility Issues to Reduce Surgical Procedure Volume
33 Minimally Invasive Surgeries in China: Key Trends
34 Forecasts for Surgical Procedure Volumes in China
341 Cardiovascular and Peripheral Vascular Surgeries in China
342 Cosmetic Surgeries in China
343 Organ Transplants in China
344 Neurosurgeries in China
345 Obstetric and Gynecologic Surgeries in China
346 Ophthalmic Surgeries in China
347 Orthopedic and Spine Surgeries in China
348 Otorhinolaryngologic Surgeries in China
349 Urologic Surgeries in China
3410 General Surgeries in China

Exhibit 3-1: China, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-2: China, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-3: China, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 3-4: China, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-5: China, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-6: China, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-7: China, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-8: China, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-9: China, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 3-10: China, General Surgery, Procedure Volumes Forecast, 2014-2019

4 SOUTH KOREA: SURGICAL PROCEDURE VOLUMES
41 Overview of the South Korean Healthcare Structure
411 Healthcare Funding and Health Insurance in South Korea
412 Reimbursement Trends in South Korea
42 South Korean Surgical Procedures: Key Trends
421 Key Drivers
4211 Adequacy of Surgical Specialists and Sufficient Hospital Beds to Drive Surgical Procedure Volumes
4212 Need for Enhanced External Appearance to Drive Cosmetic Surgeries
4213 Highly Skilled Cosmetic Surgeons Attract Large Number of Medical Tourists from Other Countries
4214 Widespread Availability of Latest Technology and Diminishing Cost to Spur Refractive Surgery Volumes
4215 High Prevalence of Hemorrhoids to Drive Surgical Growth
4216 Increasing Disposable Income to Drive Elective Surgeries
422 Key Challenges
4221 Lack of Awareness towards Obesity Guidelines and Absence of Reimbursement Pose Major Challenges for Bariatric Surgery Uptake
4222 Rampant Medical Malpractice Lawsuits Negatively Impact Surgical Volumes
4223 Overdiagnosis of Thyroid Cancers Leading to Unwarranted Thyroid Surgeries
4224 Decline in Number of Residents Applying to various Medical Specialties to Impact Surgical Volumes
43 Minimally Invasive Surgeries in South Korea: Key Trends
44 Forecasts for Surgical Procedure Volumes in South Korea
441 Cardiovascular and Peripheral Vascular Surgeries in South Korea
442 Cosmetic Surgery in South Korea
443 Organ Transplantation in South Korea
444 Neurosurgery in South Korea
445 Obstetric and Gynecologic Surgery in South Korea
446 Ophthalmic Surgery in South Korea
447 Orthopedic and Spine Surgery in South Korea
448 Otorhinolaryngologic Surgery in South Korea
449 Urologic Surgery in South Korea
4410 General surgery in South Korea

Exhibit 4-1: South Korea, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-2: South Korea, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-3: South Korea, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 4-4: South Korea, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-5: South Korea, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-6: South Korea, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-7: South Korea,Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-8: South Korea, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-9: South Korea, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-10: South Korea, General Surgery, Procedure Volumes Forecast, 2014-2019

5 INDIA: SURGICAL PROCEDURE VOLUMES
51 Overview of the Indian Healthcare Structure
511 Healthcare Funding and Health Insurance in India
512 Reimbursement Trends in India
52 Indian Surgical Procedures: Key Trends
521 Key Drivers
5211 Increased Prevalence of Cataract and Corneal Diseases to Drive Ophthalmic Procedure Growth
5212 Growing Risk Factors to Drive Cardiac Revascularization and Coronary Procedures
5213 Aging Population and Increased Incidence of Osteoarthritis to Drive Growth of Orthopedic Procedures
5214 Increasing Prevalence of Obesity and Sedentary Lifestyle to Drive the Number of Bariatric Surgeries
5215 Increasing Deliveries in Private Hospitals to Drive the Number of Cesarean Section Procedures
5216 Growing Focus of Private Hospitals towards Attracting Medical Tourists to Drive Orthopedic Procedures
522 Key Challenges
5221 Limited Number of Live and Deceased Donors to Impede Organ Transplant Procedures
5222 Skewed Healthcare Facilities and Low Insurance Coverage to Impact Surgical Procedure Volumes
5223 Stagnant Prevalence of Ovarian Cancer and Stigma of Hysterectomy to Impact Procedure Volumes
5224 Limited Healthcare Staff and Poor Funding to Impede Surgical Procedure Volumes
53 Minimally Invasive Surgeries in India: Key Trends
54 Forecasts for Surgical Procedure Volumes in India
541 Cardiovascular and Peripheral Vascular Surgeries in India
542 Cosmetic Surgeries in India
543 Organ Transplantation in India
544 Neurosurgery in India
545 Obstetric and Gynecologic Surgery in India
546 Ophthalmic Surgery in India
547 Orthopedic and Spine Surgery in India
548 Otorhinolaryngologic Surgery in India
549 Urologic Surgery in India
5410 General Surgery in India

Exhibit 5-1: India, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-2: India, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-3: India, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 5-4: India, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-5: India, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-6: India, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-7: India, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-8: India, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-9: India, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 5-10: India, General Surgery, Procedure Volumes Forecast, 2014-2019

6 THAILAND: SURGICAL PROCEDURE VOLUMES
61 Overview of the Healthcare Structure in Thailand
611 Healthcare Funding and Health Insurance in Thailand
612 Reimbursement Trends in Thailand
62 Surgical Procedures in Thailand: Key Trends
621 Key Drivers
6211 State-of-the-Art Facilities and Accredited Hospitals to Drive Procedure Volumes Growth among Medical Tourists
6212 Universal Reputation as a Leader in Cost-Effective Cosmetic Surgeries to Drive Procedural Growth
6213 Lengthy Waiting Times for Elective Surgery in Developed Nations Driving Patients to Thailand for Orthopaedic Procedures
6214 Increasing Accreditation of Hospitals to Drive Growth of Complicated Surgeries
6215 Implementation of Special Policies for Cataract Surgery Payment to Drive Procedure Volumes
622 Key Challenges
6221 Paucity of Pediatric Cardiologists in Public Hospitals to Impede Procedural Growth
6222 Migration of Surgeons from Public to Private Sector to Impede Surgical Procedure Volumes
6223 Acute Shortage of Surgical Nurses and Nurse Anaesthetists Leading to Shut-Down of Some Surgical Wards in Public Hospitals
6224 Restrictive Licensing Examinations to Impede Growth of Niche Surgical Specialties
6225 Policy Measures to Improve Incomes of Public Hospitals Places Further Burden on Resource Allocation for Surgical Specialties
63 Minimally Invasive Surgeries in Thailand: Key Trends
64 Forecasts for Surgical Procedure Volumes in Thailand
641 Cardiovascular and Peripheral Vascular Surgery in Thailand
642 Cosmetic Surgery in Thailand
643 Organ Transplantation in Thailand
644 Neurosurgery in Thailand
645 Obstetric and Gynecologic Surgery in Thailand
646 Ophthalmic Surgeries in Thailand
647 Orthopedic and Spine Surgery in Thailand
648 Otorhinolaryngologic Surgery in Thailand
649 Urologic Surgery in Thailand
6410 General Surgery in Thailand

Exhibit 6-1: Thailand, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-2: Thailand, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-3: Thailand, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 6-4: Thailand, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-5: Thailand, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-6: Thailand, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-7: Thailand, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-8: Thailand, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-9: Thailand, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-10: Thailand, General Surgery, Procedure Volumes Forecast, 2014-2019

7 VIETNAM: SURGICAL PROCEDURE VOLUMES
71 Overview of the Healthcare Structure in Vietnam
711 Healthcare Funding and Health Insurance in Vietnam
712 Reimbursement Trends in Vietnam
72 Surgical Procedures in Vietnam: Key Trends
721 Key Drivers
7211 Vietnam's Drive to become a Medical Tourism Hub to Positively Impact Cosmetic and Dental Surgery Volumes
7212 Implementation of Satellite Hospital Projects for Specialties Likely to Boost Surgical Volumes
7213 Increasing Number of Road Accidents Driving Neurologic and Orthopedic Surgeries
7214 High Incidence of Cleft Palate in Vietnamese Children Warrants an increase in Correctional Surgeries
722 Key Challenges
7211 Acute Shortage of Trained Surgeons Impeding Growth of Key Surgeries
7212 Severe Dearth of Organ Donors Adversely Affects Number of Organ Transplantations Performed
7213 Lack of Efficient Control Mechanisms Leads to an Increasing Number of Unqualified Professionals in the Cosmetic Surgery Industry
7214 Lack of Internationally Accredited Medical Facilities Poses a Challenge for Growth of Specialized Surgeries
7215 Limited Penetration of Medical Technologies Hindering Surgical Procedure Growth
73 Minimally Invasive Surgeries in Vietnam: Key Trends
74 Forecasts for Surgical Procedure Volumes in Vietnam
741 Cardiovascular and Peripheral Vascular Surgery in Vietnam
742 Cosmetic Surgery in Vietnam
743 Organ Transplantation in Vietnam
744 Neurosurgery in Vietnam
745 Obstetric and Gynecologic Surgery in Vietnam
746 Ophthalmic Surgery in Vietnam
747 Orthopedic and Spine Surgery in Vietnam
748 Otorhinolaryngologic Surgery in Vietnam
749 Urologic Surgery in Vietnam
7410 General Surgery in Vietnam

Exhibit 7-1: Vietnam, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-2: Vietnam, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-3: Vietnam, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 7-4: Vietnam, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-5: Vietnam, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-6: Vietnam, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-7: Vietnam, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-8: Vietnam, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-9: Vietnam, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 7-10: Vietnam, General Surgery, Procedure Volumes Forecast, 2014-2019

8 MALAYSIA: SURGICAL PROCEDURE VOLUMES
81 Overview of the Healthcare Structure in Malaysia
811 Healthcare Funding and Health Insurance in Malaysia
812 Reimbursement Trends in Malaysia
82 Surgical Procedures in Malaysia: Key Trends
821 Key Drivers
8211 Aggressive Efforts of the MHTC to Boost Revenues in Medical Tourism and Surgical Fields
8212 Provision of Bariatric Surgeries at Low Costs to Local and Foreign Patients to Aid Procedural Growth
8213 Existence and Enforcement of the Cardiothoracic Surgery Services Operational Policy to Allow Focused Growth of Cardiothoracic Surgery Services
8214 New Advances in Minimally Invasive Spine Surgery with Lesser Post-Operative Complications is set to Increase Number of Spine Surgeries
8215 Increasing Reluctance from Modern Couples towards Natural Birth Continues to Drive the Volume of Cesarean Sections
822 Key Challenges
8221 Acute Deficit of Organ Transplant Surgeons Poses a Formidable Challenge for Growth of the Organ Transplantation Segment
8222 Inadequacy of Advanced Training Modalities Posing Stiff Challenge towards the Growth of Surgical Procedures
8223 Insufficient Number of Specialized Paediatric Cardiology Centres Limiting Surgical Volumes
8224 Traditional Beliefs Regarding Cataract Treatment among Malaysians are a Hindrance towards Timely Surgical Intervention
8225 Lack of Awareness and High Surgery Costs Impede Growth of Knee Replacement Surgeries
83 Minimally Invasive Surgeries in Malaysia: Key Trends
84 Forecasts for Surgical Procedure Volumes in Malaysia
841 Cardiovascular and Peripheral Vascular Surgery in Malaysia
842 Cosmetic Surgery in Malaysia
843 Organ Transplantation in Malaysia
844 Neurosurgery in Malaysia
845 Obstetric and Gynecologic Surgery in Malaysia
846 Ophthalmic Surgery in Malaysia
847 Orthopedic and Spine Surgery in Malaysia
848 Otorhinolaryngologic Surgery in Malaysia
849 Urologic Surgery in Malaysia
8410 General Surgery in Malaysia

Exhibit 8-1: Malaysia, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-2: Malaysia, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-3: Malaysia, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 8-4: Malaysia, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-5: Malaysia, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-6: Malaysia, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-7: Malaysia, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-8: Malaysia, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-9: Malaysia, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-10: Malaysia, General Surgery, Procedure Volumes Forecast, 2014-2019

9 AUSTRALIA: SURGICAL PROCEDURE VOLUMES
91 Overview of the Healthcare Structure in Australia
911 Healthcare Funding and Health Insurance in Australia
912 Reimbursement Trends in Australia
92 Surgical Procedures in Australia: Key Trends
921 Key Drivers
9211 Increasing Obesity Rates to Increase Surgical Procedure Volumes
9212 Increased Demand for Pacemaker Implants Driving Volume Growth
9213 Aging Population Driving the Need for Joint Replacement Surgeries
9214 Enormously High Cesarean Section Rates Driving Procedure Volumes

922 Key Challenges
9221 Insufficient Workforce in Public Hospitals Limit the Number of Elective Surgeries Performed Each Year
9222 Growth of Bariatric Surgeries in the Country Expected to Reduce due to Higher Revision or Reversal Procedures
9223 Long Waiting Lists Prompting Australians to Travel Abroad for Elective Surgeries
93 Minimally Invasive Surgeries in Australia: Key Trends
94 Forecasts for Surgical Procedure Volumes in Australia
941 Cardiovascular and Peripheral Vascular Surgery in Australia
942 Cosmetic Surgery in Australia
943 Organ Transplantation in Australia
944 Neurosurgery in Australia
945 Obstetric and Gynecologic Surgery in Australia
946 Ophthalmic Surgery in Australia
947 Orthopedic and Spine Surgery in Australia
948 Otorhinolaryngologic Surgery in Australia
949 Urologic Surgery in Australia
9410 General Surgery in Australia

Exhibit 9-1: Australia, Cardiovascular and Peripheral Vascular Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-2: Australia, Cosmetic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-3: Australia, Organ Transplantation, Procedure Volumes Forecast, 2014-2019
Exhibit 9-4: Australia, Neurosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-5: Australia, Obstetric and Gynecologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-6: Australia, Ophthalmic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-7: Australia, Orthopedic and Spine Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-8: Australia, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-9: Australia, Urologic Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 9-10: Australia, General Surgery, Procedure Volumes Forecast, 2014-2019

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