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European Surgical Procedure Volumes

  • July 2015
  • -
  • Medtech Insight

This report presents the most common surgical procedures performed in select European countries, as well as an overview of the etiology and epidemiology of selected diseases/disorders, prevailing surgical approaches/techniques, and evolving procedural utilization trends. European countries covered by this report include France, Germany, Italy, Spain, and the United Kingdom. The forecast period covered by this report is for the years 2014 through 2019. Surgical procedures covered by this report include:

cardiovascular;
cosmetic;
general;
major organ transplantation;
neurosurgical;
obstetric/gynecologic;
ophthalmic;
orthopedic/spine;
otorhinolaryngologic; and,
urologic.
Key insights into driving factors and limiters of growth will be discussed for each of the aforementioned segments. Overall, the European surgical procedure volumes will be driven by the expansion of the elderly population and the low birth rate typical of a majority of European countries.

Table Of Contents

European Surgical Procedure Volumes
TABLE OF CONTENTS

EXECUTIVE SUMMARY
i Cardiovascular/Peripheral Vascular Surgery
ii Cosmetic Surgical Procedures
iii General Surgical Procedures
iv Major Organ Transplantation
v Neurosurgical Procedures
vi Obstetric/Gynecologic Surgical Procedures
vii Ophthalmic Surgical Procedures
viii Orthopedic/Spine Surgical Procedures
ix Otorhinolaryngologic Surgical Procedures
x Urologic Surgical Procedures
xi Methodology

1 EUROPEAN HEALTHCARE OVERVIEW
11 GDP and Healthcare
12 Healthcare Financing
13 Healthcare Economics
14 Medical Device Regulation
15 New Regulations
16 Medical Device Reimbursement
17 Healthcare Facilities and Personnel
18 Ambulatory Surgery
19 Hospital Length of Stay
110 Unified Healthcare
111 France, National Healthcare Profile
1111 Healthcare Organization and Reform
1112 Reform
1113 Health Care Expenditure
1114 Hospital Services
1115 Medical Device Reimbursement
112 Germany, National Healthcare Profile
1121 Healthcare Organization and Reform
1122 Hospital Services
1123 Funding
1124 Medical Device Reimbursement
113 Italy, National Healthcare Profile
1131 Healthcare Organization and Reform
1132 Funding
1133 Hospital Services
1134 Medical Device Reimbursement
114 Spain, National Healthcare Profile
1141 Healthcare Organization and Reform
1142 Hospital Services
1143 Medical Device Reimbursement
115 United Kingdom, National Healthcare Profile
1151 Healthcare Organization and Reform
1152 Funding
1153 Healthcare Expenditure
1154 Hospital Services
1155 Medical Device Reimbursement

Exhibit 1-1: Exhibit 1-1 Healthcare Expenditures as a Percentage of GDP for Selected European Countries for the Years 2007 through 2013
Exhibit 1-2: European Union Population Statistics Comparison for the years 2015 and 2020
Exhibit 1-3: France, Selected National Healthcare Statistics
Exhibit 1-4: Germany, Selected National Healthcare Statistics
Exhibit 1-5: Italy, Selected National Healthcare Statistics
Exhibit 1-6: Spain, Selected National Healthcare Statistics
Exhibit 1-7: United Kingdom, Selected National Healthcare Statistics

2 CARDIOVASCULAR/PERIPHERAL VASCULAR SURGICAL PROCEDURES
21 Arrhythmia
211 Atrial Fibrillation
212 Supraventricular Tachycardia
213 Ventricular Fibrillation
214 Ventricular Tachycardia
22 Circulatory Disorders
221 Coronary Artery Disease
222 Myocardial Infarction
223 Angina Pectoris
224 Aortic Aneurysm
225 Atherosclerosis
226 Hypercholesterolemia
227 Hypertension
228 Venous Thromboembolism: Deep Vein Thrombosis and Pulmonary Embolism
23 Myocardial Disorders
231 Congenital Heart Defects
232 Heart Failure
233 Rheumatic Heart Disease
234 Valvular Heart Disease
24 Aneurysm Repair
25 Coronary Artery Disease Treatment
251 Coronary Artery Bypass Graft Surgery
2511 Less Invasive Coronary Artery Bypass Graft Techniques
252 Percutaneous Transluminal Coronary Angioplasty/Coronary Stenting
253 Transmyocardial Revascularization
254 Atherectomy
26 Peripheral Artery Disease and Treatment
261 Femoropopliteal Bypass
262 Percutaneous Peripheral Revascularization Techniques
263 Percutaneous Transluminal Angioplasty
264 Peripheral Atherectomy
265 Thrombectomy and Thrombolysis
266 Peripheral Femoropopliteal Stenting
27 Heart Defect Repair
271 Congenital Heart Defect Repair
272 Heart Valve Repair and Replacement
28 Cardiac Device Implantation
281 Cardiac Resynchronization Therapy
282 Pacemakers
283 Implantable Cardioverter Defibrillators
284 Ventricular Assist Devices

Exhibit 2-1: Aneurysm Repair, Procedure Volumes Forecast, 2014-2019
Exhibit 2-2: Coronary Artery Bypass Graft Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 2-3: Percutaneous Coronary Interventions/Stenting, Procedure Volumes Forecast, 2014-2019
Exhibit 2-4: Transmyocardial Revascularization, Procedure Volumes Forecast, 2014-2019
Exhibit 2-5: Coronary Atherectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 2-6: Thrombectomy and Thrombolysis, Procedure Volumes Forecast, 2014-2019
Exhibit 2-7: Peripheral Artery Disease Treatment, Procedure Volumes Forecast, 2014-2019
Exhibit 2-8: Heart Defect Repair, Procedure Volumes Forecast, 2014-2019
Exhibit 2-9: Cardiac Device Implantation, Procedure Volumes Forecast, 2014-2019

3 COSMETIC SURGICAL PROCEDURES
31 Abdominoplasty
32 Blepharoplasty
33 Breast Augmentation
34 Breast Reduction (Mammoplasty)
35 Liposuction
36 Mastopexy
37 Rhinoplasty
38 Rhytidectomy
39 Other Cosmetic Surgical Procedures

Exhibit 3-1: Abdominoplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 3-2: Blepharoplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 3-3: Breast Augmentation, Procedure Volumes Forecast, 2014-2019
Exhibit 3-4: Breast Reduction, Procedure Volumes Forecast, 2014-2019
Exhibit 3-5: Liposuction, Procedure Volumes Forecast, 2014-2019
Exhibit 3-6: Mastopexy, Procedure Volumes Forecast, 2014-2019
Exhibit 3-7: Rhinoplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 3-8: Rhytidectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 3-9: Other Cosmetic Surgical Procedures, Procedure Volumes Forecast, 2014-2019

4 GENERAL SURGICAL PROCEDURES
41 Adrenalectomy
42 Appendectomy
43 Bariatric Surgery
44 Cholecystectomy
45 Colectomy
46 Esophagogastric Fundoplasty
47 Hemorrhoidectomy and Other Hemorrhoid Procedures
48 Inguinal Herniorrhaphy
49 Liver Biopsy

Exhibit 4-1: Adrenalectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 4-2: Appendectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 4-3: Bariatric Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 4-4: Cholecystectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 4-5: Colectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 4-6: Esophagogastric Fundoplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 4-7: Hemorrhoidectomy and Other Hemorrhoid Treatments, Procedure Volumes Forecast, 2014-2019
Exhibit 4-8: Inguinal Herniorrhaphy, Procedure Volumes Forecast, 2014-2019
Exhibit 4-9: Liver Biopsy, Procedure Volumes Forecast, 2014-2019

5 MAJOR ORGAN TRANSPLANTATION
51 Heart Transplantation
52 Kidney Transplantation
53 Liver Transplantation
54 Lung Transplantation
55 Pancreas Transplantation
56 Small Bowel Transplantation
57 Immunosuppressive Strategies
58 Organ Procurement and Donor Shortage
59 Organ Transplantation, Procedure Volumes

Exhibit 5-1: European Action Plan on Organ Donation and Transplantation (2009-2015)
Exhibit 5-2: Major Organ Transplantation, Procedure Volumes, 2014-2019

6 NEUROSURGICAL PROCEDURES
61 The Brain
611 The Cerebrum
612 The Cerebellum
613 The Brainstem
614 The Meninges
615 The Ventricular System
616 Cerebrospinal Fluid
617 The Hypothalamus
618 The Pineal Gland
619 The Pituitary Gland
62 Selected Disorders of the Central and Peripheral Nervous Systems
621 Hydrocephalus
622 Movement, Seizure, and Tremor Disorders
6221 Alzheimer's Disease
6222 Epilepsy
6223 Multiple Sclerosis
6224 Parkinson's Disease
6225 Treatment Options
62251 Deep Brain Stimulation
62252 Stereotactic Radiosurgery
623 Traumatic Brain Injury
63 The Cerebrovascular System and Selected Disorders
631 The Arterial System
632 The Venous System
633 Aneurysm
634 Arteriovenous Malformation
635 Stroke

Exhibit 6-1: Structural Relationship between the Cerebrum, Cerebellum, and Brainstem
Exhibit 6-2: Structure of the Meninges
Exhibit 6-3: Ventricles of the Brain
Exhibit 6-4: Ventriculostomy and Ventricular Shunting, Procedure Volumes Forecast, 2014-2019
Exhibit 6-5: Deep Brain Stimulation and Stereotactic Radiosurgery, Procedure Volumes Forecast, 2014-2019
Exhibit 6-6: Evacuation of Subdural Hematoma, Procedure Volumes Forecast, 2014-2019
Exhibit 6-7: Cerebral Aneurysm Clipping, Procedure Volumes Forecast, 2014-2019
Exhibit 6-8: Arteriovenous Malformation Embolization, Procedure Volumes Forecast, 2014-2019
Exhibit 6-9: Carotid Endarterectomy and Carotid Artery Stenting, Procedure Volumes Forecast, 2014-2019

7 OBSTETRIC/GYNECOLOGIC SURGICAL PROCEDURES
71 Cesarean Section
72 Dilation and Curettage (DandC)
73 Hysterectomy
74 Hysteroscopy
741 Endometrial Ablation
742 Endometrial Biopsy
743 Myomectomy
75 Oophorectomy
76 Salpingo-Oophorectomy
77 Tubal Ligation

Exhibit 7-1: Cesarean Section, Procedure Volumes Forecast, 2014-2019
Exhibit 7-2: Dilation and Curettage, Procedure Volumes Forecast, 2014-2019
Exhibit 7-3: Hysterectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 7-4: Endometrial Ablation, Procedure Volumes Forecast, 2014-2019
Exhibit 7-5: Endometrial Biopsy, Procedure Volumes Forecast, 2014-2019
Exhibit 7-6: Myomectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 7-7: Ovarian Cancer Estimated Incidence, Mortality and Prevalence, 2012
Exhibit 7-8: Oophorectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 7-9: Salpingo-Oophorectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 7-10: Tubal Ligation, Procedure Volumes Forecast, 2014-2019

8 OPHTHALMIC SURGICAL PROCEDURES
81 Age-Related Macular Degeneration and Diabetic Retinopathy
82 Cataract Surgery and Intraocular Implantation
83 Glaucoma
84 Refractive Surgery
85 Strabismus Correction
86 Vitrectomy

Exhibit 8-1: Treatment for Age-Related Macular Degeneration and Diabetic Retinopathy, Procedure Volumes Forecast, 2014-2019
Exhibit 8-2: Cataract Surgery and Intraocular Implantation, Procedure Volumes Forecast, 2014-2019
Exhibit 8-3: Glaucoma Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-4: Refractive Surgery, Procedure Volumes Forecast, 2014-2019
Exhibit 8-5: Strabismus Correction, Procedure Volumes Forecast, 2014-2019
Exhibit 8-6: Vitrectomy, Procedure Volumes Forecast, 2014-2019

9 ORTHOPEDIC/SPINE SURGICAL PROCEDURES
91 Fractures and Fracture Management
911 Types of Fractures
912 Arthritis and Fractures
913 Internal Fixation of Fractures
914 External Fixation/Fracture Repair
92 The Spine and Spine Surgery/Spinal Instrumentation
921 The Vertebral Column
9211 Disorders of the Vertebral Column
92111 Low Back Pain
92112 Scoliosis
922 Anterior Cervical Plates
923 Minimally Invasive Spine Surgery
924 Spine Surgery Trends
925 Interbody Fusion Devices
926 Laminectomy and Discectomy
927 Balloon Kyphoplasty and Vertebroplasty
928 Spinal Fusion
929 Prosthetic Intervertebral Disc Replacement
9210 Instrumented Spinal Deformity Correction
93 The Joints and Associated Diseases/Disorders and Injuries
931 Fibrous/Immoveable Joints
932 Cartilaginous Joints
933 Synovial Joints
934 Joint Replacement
9341 Total Hip Replacement
9342 Total Knee Replacement
9343 Total Shoulder Replacement
93431 Shoulder Hemiarthroplasty
93432 Revision Shoulder Arthroplasty
935 Arthroscopy
9351 Anterior Cruciate Ligament Repair
9352 Carpal Tunnel Release
9353 Lavage and Debridement of the Knee
9353 Meniscal and Articular Cartilage Repair
9354 Rotator Cuff Repair
9355 Arthroscopic Procedure Volumes Forecast

Exhibit 9-1: Internal Fixation/Fracture Repair of the Femur and Tibia/Fibula, Procedure Volumes Forecast, 2014-2019
Exhibit 9-2: External Fixation/Fracture Repair, Procedure Volumes Forecast, 2014-2019
Exhibit 9-3: Classification of Anterior Cervical Plates
Exhibit 9-4: Laminectomy and Discectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 9-5: Balloon Kyphoplasty and Vertebroplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 9-6: Cervical, Thoracic, Lumbar, and Posterior Lumbar Interbody Procedure Volumes Forecast, 2014-2019
Exhibit 9-7: Prosthetic Intervertebral Disc Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 9-8: Instrumented Spinal Deformity Corrections, Procedure Volumes Forecast, 2014-2019
Exhibit 9-9: Types of Synovial Joints
Exhibit 9-10: Illustrated Schematic of Total Hip Replacement Using a Monoblock or Modular Femoral Stem
Exhibit 9-11: Total Hip Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 9-12: Total and Unicompartmental Knee Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 9-13: Total Shoulder Replacement, Procedure Volumes Forecast, 2014-2019
Exhibit 9-14: Selected Arthroscopic Surgery, Procedure Volumes Forecast, 2014-2019

10 OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES
101 Adenoidectomy
102 Mastoidectomy
103 Myringotomy and Tube Placement
104 Septoplasty
105 Tonsillectomy
106 Tracheostomy

Exhibit 10-1: Adenoidectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 10-2: Mastoidectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 10-3: Myringotomy and Tube Placement, Procedure
Volumes Forecast, 2014-2019
Exhibit 10-4: Septoplasty, Procedure Volumes Forecast, 2014-2019
Exhibit 10-5: Tonsillectomy, Procedure Volumes Forecast, 2014-2019
Exhibit 10-6: Tracheostomy, Procedure Volumes Forecast, 2014-2019

11 UROLOGIC SURGICAL PROCEDURES
111 Benign Prostatic Hyperplasia
112 Kidney Stone Obstruction
113 Urinary Incontinence
1131 Surgical Approaches for Stress Urinary Incontinence

Exhibit 11-1: Benign Prostatic Hyperplasia Treatment, Procedure Volumes Forecast, 2014-2019
Exhibit 11-2: Kidney Stone Removal, Procedure Volumes Forecast, 2014-2019
Exhibit 11-3: Urinary Incontinence Treatmentl, Procedure Volumes Forecast, 2014-2019

APPENDIX: COMPANY LISTING

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