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Germany, Surgical Procedure Volumes
Report #A622 - July 2011
380 Pages – 89 Exhibits – 10 Company Profiles

Germany, with a population of more than 81 million, has one of the highest levels of healthcare spending in Europe. Of the EU countries of France, Germany, Italy, Spain, and the United Kingdom (U.K.), Germany has the second highest level of healthcare spending, after France. According to World Health Organization estimates, 10.5% of Germany’s GDP was spent on healthcare in 2008.

Topics covered by this report include cardiovascular/peripheral vascular surgery, cosmetic surgery, major organ transplantation, neurosurgery, obstetric/gynecologic surgery, ophthalmic surgery, orthopedic/spine surgery, otorhinolaryngologic surgery, and urologic surgery as well as the general surgical areas of adrenalectomy and appendectomy, bariatric surgery, cholecystectomy, colectomy, esophagogastric fundoplasty, hemorrhoidectomy, inguinal hernia repair, and liver biopsy.

This dynamic new report from Medtech Insight presents an overview of selected medical specialties and the number of surgical procedures performed for selected diseases/ disorders in the EU country of Germany. In addition, schematics are provided for selected anatomic structures, medical devices, and procedures. Procedure volumes forecasts are for the years 2010-2016, with aggregate figures for 2009 for the EU countries of France, Germany, Italy, Spain, and the U.K. as well as for Germany alone.

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Germany, Surgical Procedure Volumes

A622

July 2011

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Methodology

Reports are produced exclusively by Medtech Insight, through extensive primary and secondary research among the clinicians, researchers, and competitors in the marketplace, and draw upon the industry expertise of a network of industry insiders. Medtech Insight exhaustively corroborates the data as a baseline for completing forward-looking analysis and providing insight into product, technology and market evolution.

 

TABLE OF CONTENTS

 

EXECUITVE SUMMARY

i.       Cardiovascular/Peripheral Vascular Surgery

ii.       Cosmetic Surgery

iii.      General Surgery

iv.      Major Organ Transplantation

v.      Neurosurgery

vi.      Obstetric/Gynecologic Surgery

vii.     Ophthalmic Surgery

viii.    Orthopedic/Spine Surgery

ix.      Otorhinolaryngologic Surgery

x.      Urologic Surgery

 

Exhibit ES-1:    Germany, Cardiovascular/Peripheral Vascular Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-2:    Germany, Cosmetic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-3:    Germany, General Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-4:    Germany, Major Organ Transplantation, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-5:    Germany, Neurosurgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-6:    Germany, Obstetric/Gynecologic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-7:    Germany, Ophthalmic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-8:    Germany, Orthopedic/Spine Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-9:    Germany, Otorhinolaryngologic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

Exhibit ES-10:  Germany, Urologic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016

 

1. EUROPEAN HEALTHCARE OVERVIEW

1.1 Healthcare Spending

1.2 Healthcare Facilities and Manpower

1.3 Reimbursement Structures and Common Market Directives

1.4 Selected National Healthcare Profiles for Germany

1.4.1 Healthcare Organization and Reform

1.4.2 Hospital/Medical Services and Reimbursement

 

Exhibit 1-1:      European Healthcare Expenditures as a Percentage of Gross Domestic Product, Selected Countries, 2002-2008

Exhibit 1-2:      Classification of European Healthcare Providers

Exhibit 1-3:      Healthcare Providers within the European Economy

Exhibit 1-4:      Average Length of Stay, Acute Care, Selected Countries, 2002-2008

Exhibit 1-5:      European Union, Medical Devices Risk Classification System

Exhibit 1-6:      Germany, Selected National Healthcare Statistics

 

2. CARDIOVASCULAR/PERIPHERAL VASCULAR SURGICAL PROCEDURES

2.1 Arrhythmia

2.1.1 Atrial Fibrillation

2.1.2 Supraventricular Tachycardia

2.1.3 Ventricular Fibrillation

2.1.4 Ventricular Tachycardia

2.2 Circulatory Disorders

2.2.1 Coronary Artery Disease

2.2.2 Myocardial Infarction

2.2.3 Angina Pectoris

2.2.4 Aortic Aneurysm

2.2.5 Atherosclerosis

2.2.6 Hypercholesterolemia

2.2.7 Hypertension

2.2.8 Venous Thromboembolism:  Deep Vein Thrombosis and Pulmonary Embolism

2.3 Myocardial Diseases/Disorders

2.3.1 Congenital Heart Defects

2.3.2 Heart Failure

2.3.3 Rheumatic Heart Disease

2.3.4 Valvular Heart Disease

2.4 Aneurysm Repair

2.5 Coronary Artery Disease Treatment

2.5.1 Coronary Artery Bypass Graft Surgery

2.5.1.1 Less Invasive Coronary Artery Bypass Graft Techniques

2.5.2 Percutaneous Transluminal Coronary Angioplasty/Coronary Stenting

2.5.3 Transmyocardial Revascularization

2.5.4 Atherectomy

2.5.5 Thrombectomy and Thrombolysis

2.6 Peripheral Vascular Disease and Treatment

2.6.1 Femoropopliteal Bypass

2.6.2 Peripheral Percutaneous Revascularization Techniques

2.6.2.1 Peripheral Percutaneous Transluminal Angioplasty

2.6.2.2 Peripheral Atherectomy

2.6.2.3 Peripheral Femoropopliteal Stenting

2.7 Heart Defect Repair

2.7.1 Congenital Heart Defect Repair

2.7.2 Heart Valve Repair and Replacement

2.8 Cardiac Device Implantation

2.8.1 Cardiac Resynchronization Therapy

2.8.2 Pacemakers

2.8.3 Implantable Cardioverter Defibrillators

2.8.4 Ventricular Assist Devices

 

Exhibit 2-1:        Germany, Aneurysm Repair, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 2-2:        Germany, Coronary Artery Bypass Graft Surgery, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 2-3:        Germany, Percutaneous Coronary Interventions/Stenting, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 2-4:        Germany, Transmyocardial Revascularization, Procedure Volumes Forecast, 2010-2016

Exhibit 2-5:        Germany, Thrombectomy and Thrombolysis, Procedure Volumes Forecast, 2010-2016

Exhibit 2-6:        Germany, Peripheral Vascular Disease Treatment, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 2-7:        Germany, Heart Defect Repair, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 2-8:        Germany, Cardiac Device Implantation, Procedure Volumes Forecast, by Type, 2010-2016

 

3. COSMETIC SURGICAL PROCEDURES

3.1 Abdominoplasty

3.2 Blepharoplasty

3.3 Breast Augmentation

3.4 Breast Reduction

3.5 Liposuction

3.6 Mastopexy

3.7 Rhinoplasty

3.8 Rhytidectomy

3.9 Total Cosmetic Surgical Procedure Volumes

 

Exhibit 3-1:        Germany, Abdominoplasty, Procedure Volumes Forecast, 2010-2016

Exhibit 3-2:        Germany, Blepharoplasty, Procedure Volumes Forecast, 2010-2016

Exhibit 3-3:        Germany, Breast Augmentation, Procedure Volumes Forecast, 2010-2016

Exhibit 3-4:        Germany, Breast Reduction Procedure Volumes Forecast, 2010-2016

Exhibit 3-5:        Germany, Liposuction, Procedure Volumes Forecast, 2010-2016

Exhibit 3-6:        Germany, Mastopexy, Procedure Volumes Forecast, 2010-2016

Exhibit 3-7:        Germany, Rhinoplasty, Procedure Volumes Forecast, 2010-2016

Exhibit 3-8:        Germany, Rhytidectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 3-9:        Germany and Europe, Cosmetic Surgery, Procedure Volumes Forecast, by Type, 2010-2016

 

4. GENERAL SURGICAL PROCEDURES

4.1 Adrenalectomy

4.2 Appendectomy

4.3 Bariatric Surgery

4.4 Cholecystectomy

4.5 Colectomy

4.6 Esophagogastric Fundoplasty

4.7 Hemorrhoidectomy and Other Hemorrhoid Procedures

4.8 Inguinal Herniorrhaphy

4.9 Liver Biopsy

 

Exhibit 4-1:      Germany, Adrenalectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 4-2:      Germany, Appendectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 4-3:      Germany, Bariatric Surgery, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 4-4:      Germany, Cholecystectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 4-5:      Germany, Colectomy, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 4-6:      Germany, Esophagogastric Fundoplasty, Procedure Volumes Forecast, 2010-2016

Exhibit 4-7:      Germany, Hemorrhoidectomy and Other Hemorrhoid Treatments, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 4-8:      Germany, Inguinal Herniorrhaphy, Procedure Volumes, by Type, 2010-2016

Exhibit 4-9:      Germany, Liver Biopsy, Procedure Volumes Forecast, by Type, 2010-2016

 

5. MAJOR ORGAN TRANSPLANTATION

5.1 Heart Transplantation

5.2 Kidney Transplantation

5.3 Liver Transplantation

5.4 Lung Transplantation

5.5 Pancreas Transplantation

5.6 Small Intestine Transplantation

5.7 Immunosuppressive Strategies

5.8 Organ Procurement and Donor Shortage

5.9 Organ Transplantation, Procedure Volumes

 

Exhibit 5-1:      Germany, Patients Awaiting Organ Transplant, by Type, 2006-2010

Exhibit 5-2:      Germany, Major Organ Transplantation, Procedure Volumes Forecast, by Type, 2010-2016

 

6. NEUROSURGICAL PROCEDURES

6.1 The Brain

6.1.1 The Cerebrum

6.1.2 The Cerebellum

6.1.3 The Brainstem

6.1.4 The Meninges

6.1.5 The Ventricular System

6.1.6 Cerebrospinal Fluid

6.1.7 The Hypothalamus

6.1.8 The Pineal Gland

6.1.9 The Pituitary Gland

6.2 Selected Diseases/Disorders of the Central Nervous System and the Peripheral Nervous System

6.2.1 Hydrocephalus

6.2.2 Movement, Seizure, and Tremor Disorders

6.2.2.1 Alzheimer’s Disease

6.2.2.2 Epilepsy

6.2.2.3 Multiple Sclerosis

6.2.2.4 Parkinson’s Disease

6.2.2.5 Deep Brain Stimulation

6.2.2.6 Stereotactic Radiosurgery

6.2.3 Traumatic Brain Injury

6.3 The Cerebrovascular System and Selected Diseases/Disorders

6.3.1 The Arterial System

6.3.2 The Venous System

6.3.3 Aneurysm

6.3.4 Arteriovenous Malformation

6.3.5 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:      Germany, Ventricular Shunting and Ventriculostomy, Procedure Volumes Forecast, 2010-2016

Exhibit 6-5:      Germany, Deep Brain Stimulation and Stereotactic Radiosurgery, Procedure Volumes Forecast, 2010-2016

Exhibit 6-6:      Germany, Evacuation of Subdural Hematoma, Procedure Volumes Forecast, 2010-2016

Exhibit 6-7:      Germany, Cerebral Aneurysm Clipping, Procedure Volumes Forecast, 2010-2016

Exhibit 6-8:      Germany, Arteriovenous Malformation Embolization, Procedure Volumes Forecast, 2010-2016

Exhibit 6-9:      Germany, Carotid Endarterectomy and Carotid Artery Stenting, Procedure Volumes Forecast, 2010-2016

 

7. OBSTETRIC/GYNOCOLOGIC SURGICAL PROCEDURES

7.1 Cesarean Section

7.2 Dilation and Curettage

7.3 Hysterectomy

7.4 Hysteroscopy

7.4.1 Endometrial Ablation

7.4.2 Exploration and Adhesiolysis

7.4.3 Myomectomy

7.5 Oophorectomy

7.6 Salpingo-Oophorectomy

7.7 Tubal Ligation

 

Exhibit 7-1:      Germany, Cesarean Section, Procedure Volumes Forecast, 2010-2016

Exhibit 7-2:      Germany, Dilation and Curettage, Procedure Volumes Forecast, 2010-2016

Exhibit 7-3:      Germany, Hysterectomy, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 7-4:      Germany, Endometrial Ablation, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 7-5:      Germany, Exploration and Adhesiolysis, Procedure Volumes Forecast, 2010-2016

Exhibit 7-6:      Germany, Myomectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 7-7:      Germany, Oophorectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 7-8:      Germany, Salpingo-Oophorectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 7-9:      Germany, Tubal Ligation, Procedure Volumes Forecast, 2010-2016

 

8. OPHTHALMIC SURGICAL PROCEDURES

8.1 Age-Related Macular Degeneration

8.2 Cataract Surgery and Intraocular Implantation

8.3 Diabetic Retinopathy

8.4 Glaucoma

8.5 Refractive Surgery

8.6 Strabismus Correction

8.7 Vitrectomy

 

Exhibit 8-1:      Germany, Age-Related Macular Degeneration Treatment, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 8-2:      Germany, Cataract Surgery and Intraocular Implantation, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 8-3:      Germany, Diabetic Retinopathy Surgery, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 8-4:      Germany, Glaucoma Surgery, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 8-5:      Germany, Refractive Surgery, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 8-6:      Germany, Strabismus Correction, Procedure Volumes Forecast, 2010-2016

Exhibit 8-7:      Germany, Vitrectomy, Procedure Volumes Forecast, 2010-2016

 

9. ORTHOPEDIC/SPINE SURGICAL PROCEDURES

9.1 Fractures and Fracture Management

9.1.1 Types of Fractures

9.1.2 Arthritis and Fractures

9.1.3 Internal Fixation of Fractures

9.1.4 External Fixation of Fractures

9.2 The Spine and Spine Surgery/Spinal Instrumentation

9.2.1 The Vertebral Column

9.2.1.1 Disorders of the Vertebral Column

9.2.1.1.1 Low Back Pain

9.2.1.1.2 Scoliosis

9.2.2 Anterior Cervical Plates

9.2.3 Interbody Fusion Devices

9.2.4 Pedicle Screws

9.2.5 Laminectomy

9.2.6 Microdiscectomy

9.2.7 Balloon Kyphoplasty

9.2.8 Vertebroplasty

9.2.9 Spinal Fusion

9.2.10 Prosthetic Intervertebral Disc Replacement

9.2.11 Instrumented Spinal Deformity Correction

9.3 The Joints and Associated Diseases/Disorders and Injuries

9.3.1 Fibrous/Immoveable Joints

9.3.2 Cartilaginous Joints

9.3.3 Synovial Joints

9.3.4 Joint Replacement

9.3.4.1 Total Hip Replacement

9.3.4.2 Total Knee Replacement

9.3.4.3 Total Shoulder Replacement

9.3.4.3.1 Shoulder Hemiarthroplasty

9.3.4.3.2 Revision Shoulder Arthroplasty

9.3.5 Arthroscopy

9.3.5.1 Anterior Cruciate Ligament Repair

9.3.5.2 Carpal Tunnel Release

9.3.5.3 Lavage and Debridement of the Knee

9.3.5.4 Meniscal and Articular Cartilage Repair

9.3.5.5 Rotator Cuff Repair

 

Exhibit 9-1:      Germany, Internal Fixation/Fracture Repair of the Femur and Tibia/Fibula, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 9-2:      Germany, External Fixation, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 9-3:      Classification of Anterior Cervical Plates

Exhibit 9-4:      Germany, Spine Surgery, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 9-5:      Types of Synovial Joints

Exhibit 9-6:      Illustrated Schematic of Total Hip Replacement Using a Monoblock or Modular Femoral Stem

Exhibit 9-7:      Germany, Total Hip Replacement, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 9-8:      Germany, Total and Unicompartmental Knee Replacement, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 9-9:      Germany, Total Shoulder Replacement, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 9-10:    Germany, Selected Arthroscopic Surgery, Procedure Volumes Forecast, by Type, 2010-2016

 

10. OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES

10.1 Adenoidectomy

10.2 Mastoidectomy

10.3 Myringotomy and Tube Placement

10.4 Septoplasty

10.5 Tonsillectomy

10.6 Tracheostomy

10.7 Total Otorhinolaryngologic Surgical Procedure Volumes

 

Exhibit 10-1:    Germany, Adenoidectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 10-2:    Germany, Mastoidectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 10-3:    Germany, Myringotomy and Tube Placement, Procedure Volumes Forecast, 2010-2016

Exhibit 10-4:    Germany, Septoplasty, Procedure Volumes Forecast, 2010-2016

Exhibit 10-5:    Germany, Tonsillectomy, Procedure Volumes Forecast, 2010-2016

Exhibit 10-6:    Germany, Tracheostomy, Procedure Volumes Forecast, 2010-2016

Exhibit 10-7:    Germany and Europe, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, by Type, 2010-2016

 

11. UROLOGICA SURGICAL PROCEDURES

11.1 Benign Prostatic Hyperplasia

11.2 Kidney Stone Obstruction

11.3 Urinary Incontinence

 

Exhibit 11-1:    Germany, Benign Prostatic Hyperplasia Treatment, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 11-2:    Germany, Kidney Stone Removal, Procedure Volumes Forecast, by Type, 2010-2016

Exhibit 11-3:    Germany, Urinary Incontinence Treatment, Procedure Volumes Forecast, by Type, 2010-2016

 

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