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. *This is an on-demand report and will be delivered within 4 working days (excluding weekends) of the purchase.

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Table of Contents

1Table of Contents

1.1List of Tables

1.2List of Figures

2Executive Summary

2.1Sales for Hernia Mesh Repair by Region

2.2Growth of the Laparoscopic Technique

2.3Barriers Impede Growth

2.4Opportunities for Current and Future Players

2.5What Do Physicians Think?

3Introduction

3.1Catalyst

4Disease Overview

4.1Anatomy & Physiology

4.1.1Inguinal Hernias

4.1.2Incisional Hernias

4.1.3Umbilical Hernias

4.1.4Femoral Hernias

4.2Pathophysiology

4.2.1Inguinal Hernia

4.2.2Incisional Hernia

4.2.3Umbilical Hernia

4.2.4Femoral Hernia

4.3Clinical Presentation

4.3.1Symptoms

4.3.2Diagnosis

4.3.3Clinical Outcomes

4.4Epidemiology

4.4.1Inguinal Hernias

4.4.2Incisional Hernias

4.4.3Umbilical Hernias

4.4.4Femoral Hernias

4.5Economic Impact

4.5.1Open versus Laparoscopic Repair

4.5.2Watchful Waiting

4.5.3Brazil

5Competitive Assessment

5.1Overview

5.2Large Pore Meshes

5.2.1Overview

5.2.2Angimesh R2 (Angiologica)

5.2.3Assumesh (Assut Europe)

5.2.4Hexapro Mesh (Agency for Medical Innovation)

5.2.5Optilene Mesh (B. Braun)

5.2.6Omyra Mesh (B. Braun)

5.2.7Prolene Soft Mesh (Ethicon)

5.2.8ProLite Ultra Mesh (Atrium Medical)

5.2.9Soft Mesh (C. R. Bard)

5.2.10Surgimesh 1 & 2 and XLIGHT (Aspide Medical)

5.2.11Surgimesh PET 2D (Aspide Medical)

5.2.12Surgimesh WN (Aspide Medical)

5.2.13Ultrapro Mesh (Ethicon)

5.2.14Vypro Mesh (Ethicon)

5.3Small Pore Meshes

5.3.1Overview

5.3.2Bard Mesh (C. R. Bard)

5.3.3Surgipro Flatsheet Mesh (Medtronic)

5.3.4Premilene Mesh (B. Braun)

5.3.5Prolene Mesh (Ethicon)

5.3.6ProLite Mesh (Atrium Medical)

5.3.7Repol Angimesh (Angiologica)

5.4Composite Meshes

5.4.1Overview

5.4.24DDome (Cousin Biotech)

5.4.3B-Foil (Assut Europe)

5.4.4Biomesh CA.B.S. Air Composite (Cousin Biotech)

5.4.5C-QUR Mesh (Atrium Medical)

5.4.6C-QUR TacShield (Atrium Medical)

5.4.7C-QUR V-Patch (Atrium Medical)

5.4.8C-QUR CentriFX (Atrium Medical)

5.4.9C-QUR FX Mesh (Atrium Medical)

5.4.10Composix Mesh (C. R. Bard)

5.4.11Parietex Composite (Medtronic)

5.4.12Parietex ProGrip Self Fixating Mesh (Medtronic)

5.4.13Sorbimesh (Assut Europe)

5.4.14Surgimesh Cible (Aspide Medical)

5.4.15Surgimesh Diablo (Aspide Medical)

5.4.16Surgimesh M.O.P.P. (Aspide Medical)

5.4.17Surgimesh XB (Aspide Medical)

5.4.18Ultrapro Mesh (Ethicon)

5.53D Meshes

5.5.1Overview

5.5.23DMax Mesh (C. R. Bard)

5.5.3Bio-A Hernia Plug (W. L. Gore & Associates)

5.5.4Laparomesh (Assut Europe)

5.5.5Perfix Plug (C. R. Bard)

5.5.6ProLoop Mesh (Atrium Medical)

5.5.7Surgimesh Easyplug (Aspide Medical)

5.5.8Surgimesh PET 3D (Aspide Medical)

5.5.9Surgimesh XD (Aspide Medical)

5.5.10Repol Plug Cap (Angiologica)

5.6Biologic Hernia Meshes

5.6.1Overview

5.6.2AlloDerm Regenerative Tissue Matrix (LifeCell)

5.6.3Allomax Surgical Graft (Davol)

5.6.4Biodesign Hernia Graft (Cook Medical)

5.6.5Permacol Surgical Implant (Medtronic)

5.6.6Strattice (LifeCell)

6Unmet Needs

6.1Overview

6.2Specialized Laparoscopic Clinics

6.3Investigation of TAPP Versus TEP Procedures

6.4Competitive Pricing for Premium Hernia Meshes

6.5Economic and Financial Impact of Laparoscopic Techniques

6.6Addressing Postoperative Pain

7Pipeline Products

7.1Overview

7.2Clinical Trial Analysis

7.2.1Overview

7.2.2Trials to Watch

8Industry Overview

8.1Procedure Trends

8.1.1Global

8.1.2Brazil

8.2Market Access

8.2.1Cost Concerns

8.2.2Group Purchasing Organizations

8.2.3Distribution Networks

8.2.4Access to Healthcare

8.3Reimbursement Trends

8.3.1Overview

8.3.2South America – Brazil

8.4Regulatory Issues/Recalls

8.5Mergers & Acquisitions/Key Partnerships

8.5.1Baxter Acquires Synovis Life Technologies

8.5.2Medtronic Acquires Covidien

9Current and Future Players

9.1Trends in Corporate Strategy

9.2Company Profiles

9.2.1AMI: Agency for Medical Innovation

9.2.2Angiologica

9.2.3Aspide Medical

9.2.4Assut Europe

9.2.5Atrium Medical

9.2.6B. Braun Surgical

9.2.7Cook Medical

9.2.8Cousin Biotech

9.2.9Covidien

9.2.10C. R. Bard

9.2.11Ethicon

9.2.12FEG Textiltechnik mbH

9.2.13LifeCell

9.2.14Proxy Biomedical

9.2.15TEI Biosciences

9.2.16W. L. Gore & Associates

10Market Drivers, Opportunities, and Barriers

10.1Market Drivers

10.1.1Consistent Hernia Prevalence

10.1.2Transition from Open Hernia Repair to Laparoscopic Hernia Repair

10.1.3Fall of Watchful Waiting

10.1.4Residents Being Trained on Laparoscopic Technique

10.2Opportunities

10.2.1Invest in Composite Meshes Designed Specifically for Laparoscopic Repair

10.2.2Market Meshes to Specialized Centers

10.2.3Focus on Products that Require Minimal Suturing/Tacking

10.2.4Develop Business Relationships with Robotic Surgery Equipment Manufacturers

10.3Market Barriers

10.3.1Group Purchasing Organizations

10.3.2Reimbursement

10.3.3Cost

10.3.4Self-Gripping Technology

11Country Outlooks & Forecasts

11.1Major Markets Overview

11.1.1Overall Hernia Repair Market

11.1.2Overall Inguinal Hernia Repair Market

11.1.3Overall Incisional Hernia Repair Market

11.1.4Overall Umbilical Hernia Repair Market

11.1.5Overall Femoral Hernia Repair Market

11.2Company Market Share

11.2.1Overview

11.2.2Company Share by Region

11.3Brazil

11.3.1Overall Hernia Repair Market

11.3.2Hernia Repair Market by Indication

12Appendix

12.1Bibliography

12.2Abbreviations

12.3Report Methodology

12.3.1Overview

12.3.2Coverage

12.3.3Primary Research

12.3.4Secondary Research

12.3.5Forecasting Methodology

12.4General Surgeons and Herniologists Included in this Study

12.5About the Authors

Yizhe Xu, MSc, Research Analyst, Medical Devices172

Linda Tian, MSc, Managing Analyst, Medical Devices172

Priya Radhakrishnan, Director, Research and Analysis, Medical Devices172

Global Head of Healthcare172

12.6About MediPoint

12.7About GlobalData

12.8Contact Us

12.9Disclaimer

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 & 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 & Associates

Table 109: W. L. Gore & Associates Mesh Portfolio

Table 110: W. L. Gore & 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

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 & 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 68: South American Hernia Repair Procedure Volume, 2012 to 2021

Figure 70: Open versus Laparoscopic Procedure Volume, Brazil, 2012–2021

Figure 71: Procedure Volume by Indication, Brazil, 2014 and 2021

Figure 72: Global Hernia Repair Sales Forecast ($m) 2012–2021

Figure 73: Global Hernia Repair Market by Geography, 2014 and 2021

Figure 74: Global Inguinal Hernia Mesh Repair Market by Geography, 2014 and 2021

Figure 75: Global Incisional Hernia Mesh Repair Market by Geography, 2014 and 2021

Figure 76: Global Umbilical Hernia Mesh Repair Market by Geography, 2014 and 2021

Figure 77: Global Femoral Hernia Mesh Repair Market by Geography, 2014 and 2021

Figure 78: Brazil Mesh Company Market Shares for Hernia Repair, 2014

Figure 79: Brazil Hernia Mesh Repair Sales ($m) Forecast, 2012–2021

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