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Italy, Surgical Procedure Volumes
Report #A629
- November 2013
374 Pages – 91 Exhibits


Of Italy's 61.3 million population, the number of those age 65 and older comprise an estimated 20.5%. The country is expected to experience modest growth in the age 65 and older group over the coming years, with this population projected to comprise an estimated 22.1% by the year 2020. According to World Health Organization estimates, 9.2% of Italy's gross domestic product was spent on healthcare in 2011.

This dynamic new report from Medtech Insight presents an overview of selected medical specialties and surgical procedures performed for selected diseases/disorders in the European Union country of Italy. In addition, schematic illustrations are provided for selected anatomic structures. Procedure volumes forecasts are for the years 2011-2018, with compound annual growth rates for the years 2012-2018.

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.

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Italy, Surgical Procedure Volumes

A629

November 2013

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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

 

EXECUTIVE 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

xi.         Methodology

 

Exhibit ES-1:    Italy, Cardiovascular/Peripheral Vascular Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-2:    Italy, Cosmetic Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-3:    Italy, General Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-4:    Italy, Major Organ Transplantation, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-5:    Italy, Neurosurgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-6:    Italy, Obstetric/Gynecologic Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-7:    Italy, Ophthalmic Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-8:    Italy, Orthopedic/Spine Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-9:    Italy, Otorhinolaryngologic Surgery, Combined Procedure Volumes Forecast, 2011-2018

Exhibit ES-10:  Italy, Urologic Surgery, Combined Procedure Volumes Forecast, 2011-2018

 

1. EUROPEAN HEALTHCARE OVERVIEW

1.1 Healthcare Spending

1.2 Healthcare Facilities and Personnel

1.3 Reimbursement Structures

1.4 Italy, National Healthcare Profile

1.4.1 Healthcare Organization and Reform

1.4.2 Hospital Services

1.4.3 Medical Device Reimbursement

 

Exhibit 1-1:      European Healthcare Expenditures as a Percentage of Gross Domestic Product, Selected Countries, 2005-2011

Exhibit 1-2:      European Union Population Statistics Comparison for the Years 2010 and 2020

Exhibit 1-3:      European Union, Medical Devices Risk Classification System

Exhibit 1-4:      Italy, 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 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 Artery Disease and Treatment

2.6.1 Femoropopliteal Bypass

2.6.2 Percutaneous Peripheral Revascularization Techniques

2.6.2.1 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:      Italy, Aneurysm Repair, Procedure Volumes Forecast, 2011-2018

Exhibit 2-2:      Italy, Coronary Artery Bypass Graft Surgery, Procedure Volumes Forecast, 2011-2018

Exhibit 2-3:      Major Milestones in the Development of Percutaneous Coronary Intervention

Exhibit 2-4:      Italy, Percutaneous Coronary Interventions/Stenting, Procedure Volumes Forecast, 2011-2018

Exhibit 2-5:      Italy, Transmyocardial Revascularization, Procedure Volumes Forecast, 2011-2018

Exhibit 2-6:      Italy, Atherectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 2-7:      Italy, Thrombectomy and Thrombolysis, Procedure Volumes Forecast, 2011-2018

Exhibit 2-8:      Italy, Peripheral Artery Disease Treatment, Procedure Volumes Forecast, 2011-2018

Exhibit 2-9:      Italy, Heart Defect Repair, Procedure Volumes Forecast, 2011-2018

Exhibit 2-10:    Italy, Cardiac Device Implantation, Procedure Volumes Forecast, 2011-2018

 

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 Other Cosmetic Surgical Procedures

3.10 Combined Cosmetic Surgical Procedures

 

Exhibit 3-1:      Italy, Abdominoplasty, Procedure Volumes Forecast, 2011-2018

Exhibit 3-2:      Italy, Blepharoplasty, Procedure Volumes Forecast, 2011-2018

Exhibit 3-3:      Italy, Breast Augmentation, Procedure Volumes Forecast, 2011-2018

Exhibit 3-4:      Italy, Breast Reduction Procedure Volumes Forecast, 2011-2018

Exhibit 3-5:      Italy, Liposuction, Procedure Volumes Forecast, 2011-2018

Exhibit 3-6:      Italy, Mastopexy, Procedure Volumes Forecast, 2011-2018

Exhibit 3-7:      Italy, Rhinoplasty, Procedure Volumes Forecast, 2011-2018

Exhibit 3-8:      Italy, Rhytidectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 3-9:      Italy, Other Cosmetic Surgical Procedures, Procedure Volumes Forecast, 2011-2018

Exhibit 3-10:    Italy and Europe, Cosmetic Surgery, Comparative Procedure Volumes Forecast, 2011-2018

 

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:      Italy, Adrenalectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 4-2:      Italy, Appendectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 4-3:      Italy, Bariatric Surgery, Procedure Volumes Forecast, 2011-2018

Exhibit 4-4:      Italy, Cholecystectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 4-5:      Italy, Colectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 4-6:      Italy, Esophagogastric Fundoplasty, Procedure Volumes Forecast, 2011-2018

Exhibit 4-7:      Italy, Hemorrhoidectomy and Other Hemorrhoid Treatments, Procedure Volumes Forecast, 2011-2018

Exhibit 4-8:      Italy, Inguinal Herniorrhaphy, Procedure Volumes Forecast, 2011-2018

Exhibit 4-9:      Italy, Liver Biopsy, Procedure Volumes Forecast, 2011-2018

 

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 Bowel Transplantation

5.7 Immunosuppressive Strategies

5.8 Organ Procurement and Donor Shortage

5.9 Organ Transplantation, Procedure Volumes

 

Exhibit 5-1:      European Action Plan on Organ Donation and Transplantation (2009-2015)

Exhibit 5-2:      Italy, Patients Awaiting Organ Transplant, 2006-2011

 

Exhibit 5-3:      Italy, Major Organ Transplantation, Historical Procedure Volumes, 2002-2011

Exhibit 5-4:      Italy, Major Organ Transplantation, Procedure Volumes Forecast, 2011-2018

 

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 Disorders of the Central and Peripheral Nervous Systems

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 Treatment Options

6.2.2.5.1 Deep Brain Stimulation

6.2.2.5.2 Stereotactic Radiosurgery

6.2.3 Traumatic Brain Injury

6.3 The Cerebrovascular System and Selected 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:      Italy, Ventriculostomy and Ventricular Shunting, Procedure Volumes Forecast, 2011-2018

Exhibit 6-5:      Italy, Deep Brain Stimulation and Stereotactic Radiosurgery, Procedure Volumes Forecast, 2011-2018

Exhibit 6-6:      Italy, Evacuation of Subdural Hematoma, Procedure Volumes Forecast, 2011-2018

Exhibit 6-7:      Italy, Cerebral Aneurysm Clipping, Procedure Volumes Forecast, 2011-2018

Exhibit 6-8:      Italy, Arteriovenous Malformation Embolization, Procedure Volumes Forecast, 2011-2018

Exhibit 6-9:      Italy, Carotid Endarterectomy and Carotid Artery Stenting, Procedure Volumes Forecast, 2011-2018

 

7. OBSTETRIC/GYNECOLOGIC 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 Endometrial Biopsy

7.4.3 Myomectomy

7.5 Oophorectomy

7.6 Salpingo-Oophorectomy

7.7 Tubal Ligation

 

Exhibit 7-1:      Italy, Cesarean Section, Procedure  Volumes Forecast, 2011-2018

Exhibit 7-2:      Italy, Dilation and Curettage, Procedure Volumes Forecast, 2011-2018

Exhibit 7-3:      Italy, Hysterectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 7-4:      Italy, Endometrial Ablation, Procedure Volumes Forecast, 2011-2018

Exhibit 7-5:      Italy, Endometrial Biopsy, Procedure  Volumes Forecast, 2011-2018

Exhibit 7-6:      Italy, Myomectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 7-7:      Italy, Oophorectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 7-8:      Italy, Salpingo-Oophorectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 7-9:      Italy, Tubal Ligation, Procedure Volumes Forecast, 2011-2018

 

8. OPHTHALMIC SURGICAL PROCEDURES

8.1 Age-Related Macular Degeneration and Diabetic Retinopathy

8.2 Cataract Surgery and Intraocular Implantation

8.3 Glaucoma

8.4 Refractive Surgery

8.5 Strabismus Correction

8.6 Vitrectomy

 

Exhibit 8-1:      Italy, Treatment for Age-Related Macular Degeneration and Diabetic Retinopathy, Procedure Volumes Forecast, 2011-2018

Exhibit 8-2:      Italy, Cataract Surgery and Intraocular Implantation, Procedure Volumes Forecast, 2011-2018

Exhibit 8-3:      Italy, Glaucoma Surgery, Procedure Volumes Forecast, 2011-2018

Exhibit 8-4:      Italy, Refractive Surgery, Procedure Volumes Forecast, 2011-2018

Exhibit 8-5:      Italy, Strabismus Correction, Procedure Volumes Forecast, 2011-2018

Exhibit 8-6:      Italy, Vitrectomy, Procedure Volumes Forecast, 2011-2018

 

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/Fracture Repair

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:      Italy, Internal Fixation/Fracture Repair of the Femur and Tibia/Fibula, Procedure Volumes Forecast, 2011-2018

Exhibit 9-2:      Italy, External Fixation/Fracture Repair, Procedure Volumes Forecast, 2011-2018

Exhibit 9-3:      Classification of Anterior Cervical Plates

Exhibit 9-4:      Italy, Spine Surgery, Procedure Volumes Forecast, 2011-2018

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:      Italy, Total Hip Replacement, Procedure Volumes Forecast, 2011-2018

Exhibit 9-8:      Italy, Total and Unicompartmental Knee Replacement, Procedure Volumes Forecast, 2011-2018

Exhibit 9-9:      Italy, Total Shoulder Replacement, Procedure Volumes Forecast, 2011-2018

Exhibit 9-10:    Italy, Selected Arthroscopic Surgery, Procedure Volumes Forecast, 2011-2018

 

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 Combined Otorhinolaryngologic Surgical Procedures

 

Exhibit 10-1:    Italy, Adenoidectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 10-2:    Italy, Mastoidectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 10-3:    Italy, Myringotomy and Tube Placement, Procedure Volumes Forecast, 2011-2018

Exhibit 10-4:    Italy, Septoplasty, Procedure Volumes Forecast, 2011-2018

Exhibit 10-5:    Italy, Tonsillectomy, Procedure Volumes Forecast, 2011-2018

Exhibit 10-6:    Italy, Tracheostomy, Procedure Volumes Forecast, 2011-2018

Exhibit 10-7:    Italy and Europe, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2011-2018

 

11. UROLOGIC SURGICAL PROCEDURES

11.1 Benign Prostatic Hyperplasia

11.2 Kidney Stone Obstruction

11.3 Urinary Incontinence

 

Exhibit 11-1:    Italy, Benign Prostatic Hyperplasia Treatment, Procedure Volumes Forecast, 2011-2018

Exhibit 11-2:    Italy, Kidney Stone Removal, Procedure Volumes Forecast, 2011-2018

Exhibit 11-3:    Italy, Urinary Incontinence Treatment, Procedure Volumes Forecast, 2011-2018

 

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