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Hernia Repair - South American Analysis and Market Forecasts


Hernia is a term used to describe the protrusion of an internal organ or tissue through a weak portion of a muscle or connective tissue. The majority of hernias occur in the abdomen, where they are caused by a combination of increased abdominal pressure and a weakness in a particular portion of the abdomen (which is often present at birth). Certain conditions such as obesity and persistent coughing can cause an increase in intra-abdominal pressure and contribute to hernia development.

The advancement of hernia repair has been hallmarked by three significant shifts in surgical treatment. The first was the transition from the “tension” techniques, which involved the use of sutures to tie adjacent tissue layers together, to a “tension-free” technique that incorporated flat sheets of mesh to bridge the defect. The second transition was the overwhelming adoption of large pore meshes in replacement of small pore meshes. Both shifts were prompted by improvements in patient outcomes. The third transition is currently underway as surgeons adopt the laparoscopic technique over the standard open technique.

The Brazil hernia repair devices market has been estimated in this report up to 2021. The report provides an investigation of unmet needs, future adoption trends and compound annual growth rates (CAGR) for each market segment. In addition, this report presents the current market drivers and barriers which will influence the future market growth of hernia repair devices.

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Key Questions Answered

- What are the procedure volumes for different hernia indications in Brazil? How will the volumes change in the next a few years?
- Growth in the hernia repair market lies with an increasing adoption in laparoscopic procedures. What are the current adoption trends in Brazil? How will laparoscopic approach grow in the upcoming years?
- Large pore synthetic mesh has been the mainstream product for years but latest products such as composite and biologic meshes are receiving increasing attention from surgeons. What are the current adoption trends towards different mesh types in Brazil? How will the adoption trends shift in the near future?
- There are various hernia mesh types and different mesh companies have a different strategic product focus. Who are the leading players in the hernia repair market in Brazil?

Reasons to buy

- “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.

Table Of Contents

Hernia Repair - South American Analysis and Market Forecasts
1 Table of Contents
1.1 List of Tables
1.2 List of Figures
2 Executive Summary
2.1 Sales for Hernia Mesh Repair by Region
2.2 Growth of the Laparoscopic Technique
2.3 Barriers Impede Growth
2.4 Opportunities for Current and Future Players
2.5 What Do Physicians Think?
3 Introduction
3.1 Catalyst
4 Disease Overview
4.1 Anatomy and Physiology
4.1.1 Inguinal Hernias
4.1.2 Incisional Hernias
4.1.3 Umbilical Hernias
4.1.4 Femoral Hernias
4.2 Pathophysiology
4.2.1 Inguinal Hernia
4.2.2 Incisional Hernia
4.2.3 Umbilical Hernia
4.2.4 Femoral Hernia
4.3 Clinical Presentation
4.3.1 Symptoms
4.3.2 Diagnosis
4.3.3 Clinical Outcomes
4.4 Epidemiology
4.4.1 Inguinal Hernias
4.4.2 Incisional Hernias
4.4.3 Umbilical Hernias
4.4.4 Femoral Hernias
4.5 Economic Impact
4.5.1 Open versus Laparoscopic Repair
4.5.2 Watchful Waiting
4.5.3 Brazil
5 Competitive Assessment
5.1 Overview
5.2 Large Pore Meshes
5.2.1 Overview
5.2.2 Angimesh R2 (Angiologica)
5.2.3 Assumesh (Assut Europe)
5.2.4 Hexapro Mesh (Agency for Medical Innovation)
5.2.5 Optilene Mesh (B. Braun)
5.2.6 Omyra Mesh (B. Braun)
5.2.7 Prolene Soft Mesh (Ethicon)
5.2.8 ProLite Ultra Mesh (Atrium Medical)
5.2.9 Soft Mesh (C. R. Bard)
5.2.10 Surgimesh 1 and 2 and XLIGHT (Aspide Medical)
5.2.11 Surgimesh PET 2D (Aspide Medical)
5.2.12 Surgimesh WN (Aspide Medical)
5.2.13 Ultrapro Mesh (Ethicon)
5.2.14 Vypro Mesh (Ethicon)
5.3 Small Pore Meshes
5.3.1 Overview
5.3.2 Bard Mesh (C. R. Bard)
5.3.3 Surgipro Flatsheet Mesh (Medtronic)
5.3.4 Premilene Mesh (B. Braun)
5.3.5 Prolene Mesh (Ethicon)
5.3.6 ProLite Mesh (Atrium Medical)
5.3.7 Repol Angimesh (Angiologica)
5.4 Composite Meshes
5.4.1 Overview
5.4.2 4DDome (Cousin Biotech)
5.4.3 B-Foil (Assut Europe)
5.4.4 Biomesh CA.B.S. Air Composite (Cousin Biotech)
5.4.5 C-QUR Mesh (Atrium Medical)
5.4.6 C-QUR TacShield (Atrium Medical)
5.4.7 C-QUR V-Patch (Atrium Medical)
5.4.8 C-QUR CentriFX (Atrium Medical)
5.4.9 C-QUR FX Mesh (Atrium Medical)
5.4.10 Composix Mesh (C. R. Bard)
5.4.11 Parietex Composite (Medtronic)
5.4.12 Parietex ProGrip Self Fixating Mesh (Medtronic)
5.4.13 Sorbimesh (Assut Europe)
5.4.14 Surgimesh Cible (Aspide Medical)
5.4.15 Surgimesh Diablo (Aspide Medical)
5.4.16 Surgimesh M.O.P.P. (Aspide Medical)
5.4.17 Surgimesh XB (Aspide Medical)
5.4.18 Ultrapro Mesh (Ethicon)
5.5 3D Meshes
5.5.1 Overview
5.5.2 3DMax Mesh (C. R. Bard)
5.5.3 Bio-A Hernia Plug (W. L. Gore and Associates)
5.5.4 Laparomesh (Assut Europe)
5.5.5 Perfix Plug (C. R. Bard)
5.5.6 ProLoop Mesh (Atrium Medical)
5.5.7 Surgimesh Easyplug (Aspide Medical)
5.5.8 Surgimesh PET 3D (Aspide Medical)
5.5.9 Surgimesh XD (Aspide Medical)
5.5.10 Repol Plug Cap (Angiologica)
5.6 Biologic Hernia Meshes
5.6.1 Overview
5.6.2 AlloDerm Regenerative Tissue Matrix (LifeCell)
5.6.3 Allomax Surgical Graft (Davol)
5.6.4 Biodesign Hernia Graft (Cook Medical)
5.6.5 Permacol Surgical Implant (Medtronic)
5.6.6 Strattice (LifeCell)
6 Unmet Needs
6.1 Overview
6.2 Specialized Laparoscopic Clinics
6.3 Investigation of TAPP Versus TEP Procedures
6.4 Competitive Pricing for Premium Hernia Meshes
6.5 Economic and Financial Impact of Laparoscopic Techniques
6.6 Addressing Postoperative Pain
7 Pipeline Products
7.1 Overview
7.2 Clinical Trial Analysis
7.2.1 Overview
7.2.2 Trials to Watch
8 Industry Overview
8.1 Procedure Trends
8.1.1 Global
8.1.2 Brazil
8.2 Market Access
8.2.1 Cost Concerns
8.2.2 Group Purchasing Organizations
8.2.3 Distribution Networks
8.2.4 Access to Healthcare
8.3 Reimbursement Trends
8.3.1 Overview
8.3.2 South America - Brazil
8.4 Regulatory Issues/Recalls
8.5 Mergers and Acquisitions/Key Partnerships
8.5.1 Baxter Acquires Synovis Life Technologies
8.5.2 Medtronic Acquires Covidien
9 Current and Future Players
9.1 Trends in Corporate Strategy
9.2 Company Profiles
9.2.1 AMI: Agency for Medical Innovation
9.2.2 Angiologica
9.2.3 Aspide Medical
9.2.4 Assut Europe
9.2.5 Atrium Medical
9.2.6 B. Braun Surgical
9.2.7 Cook Medical
9.2.8 Cousin Biotech
9.2.9 Covidien
9.2.10 C. R. Bard
9.2.11 Ethicon
9.2.12 FEG Textiltechnik mbH
9.2.13 LifeCell
9.2.14 Proxy Biomedical
9.2.15 TEI Biosciences
9.2.16 W. L. Gore and Associates
10 Market Drivers, Opportunities, and Barriers
10.1 Market Drivers
10.1.1 Consistent Hernia Prevalence
10.1.2 Transition from Open Hernia Repair to Laparoscopic Hernia Repair
10.1.3 Fall of Watchful Waiting
10.1.4 Residents Being Trained on Laparoscopic Technique
10.2 Opportunities
10.2.1 Invest in Composite Meshes Designed Specifically for Laparoscopic Repair
10.2.2 Market Meshes to Specialized Centers
10.2.3 Focus on Products that Require Minimal Suturing/Tacking
10.2.4 Develop Business Relationships with Robotic Surgery Equipment Manufacturers
10.3 Market Barriers
10.3.1 Group Purchasing Organizations
10.3.2 Reimbursement
10.3.3 Cost
10.3.4 Self-Gripping Technology
11 Country Outlooks and Forecasts
11.1 Major Markets Overview
11.1.1 Overall Hernia Repair Market
11.1.2 Overall Inguinal Hernia Repair Market
11.1.3 Overall Incisional Hernia Repair Market
11.1.4 Overall Umbilical Hernia Repair Market
11.1.5 Overall Femoral Hernia Repair Market
11.2 Company Market Share
11.2.1 Overview
11.2.2 Company Share by Region
11.3 Brazil
11.3.1 Overall Hernia Repair Market
11.3.2 Hernia Repair Market by Indication
12 Appendix
12.1 Bibliography
12.2 Abbreviations
12.3 Report Methodology
12.3.1 Overview
12.3.2 Coverage
12.3.3 Primary Research
12.3.4 Secondary Research
12.3.5 Forecasting Methodology
12.4 General Surgeons and Herniologists Included in this Study
12.5 About the Authors
12.6 About MediPoint
12.7 About GlobalData
12.8 Contact Us
12.9 Disclaimer

1.1 List of Tables
Table 1: Overall Hernia Repair, Key Metrics in Major Markets
Table 2: Layers of the Abdominal Wall
Table 3: Distribution by Sex in the Major Markets, 2014
Table 4: Inguinal Hernia, Distribution by Age in the Major Markets, 2012
Table 5: Hernia Mesh Classifications
Table 6: Large Pore Mesh SWOT Analysis, 2015
Table 7: Product Profile - Angimesh R2
Table 8: Product Profile - Assumesh
Table 9: Product Profile - Hexapro Mesh
Table 10: Product Profile - Optilene Mesh
Table 11: Product Profile - Optilene Mesh LP
Table 12: Product Profile - Optilene Mesh Elastic
Table 13: Product Profile - Omyra Mesh
Table 14: Product Profile - Prolene Soft Mesh
Table 15: Product Profile - ProLite Ultra Mesh
Table 16: Product Profile - Soft Mesh
Table 17: Product Profile - Surgimesh 1 and 2 and XLIGHT
Table 18: Product Profile - Surgimesh PET 2D
Table 19: Product Profile - Surgimesh WN
Table 20: Product Profile - Ultrapro Mesh
Table 21: Product Profile - Vypro Mesh
Table 22: Small Pore Mesh SWOT Analysis, 2015
Table 23: Product Profile - Bard Mesh
Table 24: Product Profile - Surgipro Flatsheet Mesh
Table 25: Product Profile - Premilene Mesh
Table 26: Product Profile - Premilene Mesh Plug
Table 27: Product Profile - Prolene Mesh
Table 28: Product Profile - ProLite Mesh
Table 29: Product Profile - Repol Angimesh
Table 30: Composite Meshes SWOT Analysis, 2015
Table 31: Product Profile - 4DDome
Table 32: Product Profile - B-Foil
Table 33: Product Profile - Biomesh CA.B.S. Air Composite
Table 34: Product Profile - C-QUR Mesh
Table 35: Product Profile - C-QUR TacShield
Table 36: Product Profile - C-QUR V-Patch
Table 37: Product Profile - C-QUR CentriFX
Table 38: Product Profile - C-QUR FX Mesh
Table 39: Product Profile - Composix Mesh
Table 40: Product Profile - Parietex Composite
Table 41: Product Profile - Parietex ProGrip Self Fixating Mesh
Table 42: Product Profile - Sorbimesh
Table 43: Product Profile - Surgimesh Cible
Table 44: Product Profile - Surgimesh Diablo
Table 45: Product Profile - Surgimesh M.O.P.P.
Table 46: Product Profile - Surgimesh XB
Table 47: Product Profile - Ultrapro Mesh
Table 48: 3D Meshes SWOT Analysis, 2015
Table 49: Product Profile - 3DMax Mesh
Table 50: Product Profile - Bio-A Hernia Plug
Table 51: Product Profile - Laparomesh
Table 52: Product Profile - Perfix Plug
Table 53: Product Profile - ProLoop FX Mesh
Table 54: Product Profile - Easyplug
Table 55: Product Profile - Surgimesh PET 3D
Table 56: Product Profile - Surgimesh XD
Table 57: Product Profile - Repol Plug Cap
Table 58: Biologic Meshes SWOT Analysis, 2015
Table 59: Product Profile - AlloDerm Regenerative Tissue Matrix
Table 60: Product Profile - Allomax Surgical Graft
Table 61: Product Profile - Biodesign Hernia Graft
Table 62: Product Profile - Permacol Surgical Implant
Table 63: Product Profile - Strattices
Table 64: Overall Unmet Needs - Current Level of Attainment and Importance
Table 65: Company Profile - A.M.I.: Agency for Medical Innovation
Table 66: AMI: Agency for Medical Innovation SWOT Analysis, 2015
Table 67: Company Profile - Angiologica
Table 68: Angiologica Mesh Portfolio
Table 69: Angiologica SWOT Analysis, 2015
Table 70: Company Profile - Aspide Medical
Table 71: Aspide Medical Mesh Portfolio
Table 72: Aspide Medical SWOT Analysis, 2015
Table 73: Company Profile - Assut Europe
Table 74: Assut Europe Mesh Portfolio
Table 75: Assut Europe SWOT Analysis, 2015
Table 76: Company Profile - Atrium Medical
Table 77: Atrium Medical Mesh Portfolio
Table 78: Atrium Medical SWOT Analysis, 2015
Table 79: Company Profile - B. Braun
Table 80: B. Braun Mesh Portfolio, 2015
Table 81: B. Braun SWOT Analysis, 2015
Table 82: Company Profile - Cook Medical
Table 83: Cook Medical Mesh Portfolio, 2015
Table 84: Cook Medical SWOT Analysis, 2015
Table 85: Company Profile - Cousin Medical Group
Table 86: Cousin Medical Group Mesh Portfolio
Table 87: Cousin Medical Group SWOT Analysis, 2015
Table 88: Company Profile - Covidien
Table 89: Covidien Mesh Portfolio, 2015
Table 90: Covidien SWOT Analysis, 2015
Table 91: Company Profile - C. R. Bard (Davol)
Table 92: C. R. Bard Mesh Portfolio, 2015
Table 93: C. R. Bard SWOT Analysis, 2015
Table 94: Company Profile - Ethicon
Table 95: Ethicon Mesh Portfolio
Table 96: Ethicon SWOT Analysis, 2015
Table 97: Company Profile - FEG Textiltechnik
Table 98: FEG Textiltechnik mbH Mesh Portfolio
Table 99: FEG Textiltechnik SWOT Analysis, 2015
Table 100: Company Profile - LifeCell
Table 101: LifeCell Mesh Portfolio
Table 102: LifeCell SWOT Analysis, 2015
Table 103: Company Profile - Proxy Biomedical
Table 104: Proxy Biomedical Mesh Portfolio
Table 105: Proxy Biomedical SWOT Analysis, 2015
Table 106: Company Profile - TEI Biosciences
Table 107: TEI Biosciences SWOT Analysis, 2015
Table 108: Company Profile - W. L. Gore and Associates
Table 109: W. L. Gore and Associates Mesh Portfolio
Table 110: W. L. Gore and Associates SWOT Analysis, 2015
Table 111: Laparoscopic Adoption Across the Major Markets, 2014 and 2021
Table 112: Global Hernia Repair Sales Forecast ($m), 2012-2021
Table 113: Brazil Hernia Repair Sales ($m) Forecast, 2012-2021

1.2 List of Figures
Figure 1: Overall Hernia Repair Revenue by Major Market, 2014 and 2021
Figure 2: Inguinal Hernia
Figure 3: Layers of the Abdominal Wall
Figure 4: Anatomy of an Umbilical Hernia
Figure 5: Indirect Inguinal Hernia
Figure 6: Direct Inguinal Hernia
Figure 7: Entrance Points for Laparoscopic Inguinal Hernia Repair
Figure 8: Global Company Market Share, Flatsheet meshes, 2014
Figure 9: Structure of Angimesh R2
Figure 10: Structure of Assumesh
Figure 11: Structure of Hexapro Mesh
Figure 12: Structure of Optilene Mesh
Figure 13: Structure of Optilene Mesh LP
Figure 14: Structure of Optilene Mesh Elastic
Figure 15: Structure of Omyra Mesh
Figure 16: Structure of Prolene Soft Mesh
Figure 17: Structure of ProLite Ultra Mesh
Figure 18: Structure of Soft Mesh
Figure 19: Structure of Surgimesh 1 and 2 and XLIGHT
Figure 20: Structure of Surgimesh PET 2D
Figure 21: Structure of Surgimesh WN
Figure 22: Structure of Ultrapro Mesh
Figure 23: Structure of Vypro Mesh
Figure 24: Structure of the Bard Mesh
Figure 25: Structure of Surgipro Flatsheet Mesh
Figure 26: Structure of Premilene Mesh
Figure 27: Structure of Premilene Mesh Plug
Figure 28: Structure of Prolene Mesh
Figure 29: Structure of ProLite Mesh
Figure 30: Structure of Repol Angimesh
Figure 31: Global Company Market Share, Composite Meshes, 2014
Figure 32: Structure of the 4DDome
Figure 33: Structure of B-Foil
Figure 34: Structure of the Biomesh CA.B.S. Air Composite
Figure 35: Structure of C-QUR Mesh
Figure 36: Structure of C-QUR TacShield
Figure 37: Structure of C-QUR V-Patch
Figure 38: Structure of C-QUR CentriFX
Figure 39: Structure of C-QUR FX Mesh
Figure 40: Structure of Composix Mesh
Figure 41: Structure of Parietex Composite
Figure 42: Structure of Parietex ProGrip Self Fixating Mesh
Figure 43: Structure of Sorbimesh
Figure 44: Structure of Surgimesh Cible
Figure 45: Structure of Surgimesh Diablo
Figure 46: Structure of Surgimesh M.O.P.P.
Figure 47: Structure of Surgimesh XB
Figure 48: Structure of Ultrapro Mesh
Figure 49: Global Company Market Share, 3D Meshes, 2014
Figure 50: Structure of the 3DMax Mesh
Figure 51: Structure of the Bio-A Hernia Plug
Figure 52: Structure of Laparomesh
Figure 53: Structure of Perfix Plug
Figure 54: Structure of ProLoop Mesh
Figure 55: Structure of Surgimesh Easyplug Standard
Figure 56: Structure of Surgimesh WN Easyplug
Figure 57: Structure of Surgimesh WN Easyplug No Touch
Figure 58: Structure of Surgimesh PET 3D
Figure 59: Structure of Surgimesh XD
Figure 60: Structure of Repol Plug Cap
Figure 61: Global Company Market Share, Biologic Meshes, 2014
Figure 62: Structure of the AlloDerm Regenerative Tissue Matrix
Figure 63: Structure of the Allomax Surgical Graft
Figure 64: Structure of the Biodesign Hernia Graft
Figure 65: Structure of the Permacol Surgical Implant
Figure 66: South American Hernia Repair Procedure Volume, 2012 to 2021
Figure 67: Open versus Laparoscopic Procedure Volume, Brazil, 2012-2021
Figure 68: Procedure Volume by Indication, Brazil, 2014 and 2021
Figure 69: Global Hernia Repair Sales Forecast ($m) 2012-2021
Figure 70: Global Hernia Repair Market by Geography, 2014 and 2021
Figure 71: Global Inguinal Hernia Mesh Repair Market by Geography, 2014 and 2021
Figure 72: Global Incisional Hernia Mesh Repair Market by Geography, 2014 and 2021
Figure 73: Global Umbilical Hernia Mesh Repair Market by Geography, 2014 and 2021
Figure 74: Global Femoral Hernia Mesh Repair Market by Geography, 2014 and 2021
Figure 75: Brazil Mesh Company Market Shares for Hernia Repair, 2014
Figure 76: Brazil Hernia Mesh Repair Sales ($m) Forecast, 2012-2021

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