UNITED KINGDOM, SURGICAL PROCEDURE VOLUMES

314 Pages | 66 Exhibits | 2009 Analysis | Forecasts Through 2013

OVERVIEW:
In 2008, the population of the United Kingdom (U.K.) reached approximately 60.9 million, with the number of people age 65 and older comprising 16.0% of the total population; this represented an increase of 5.2% over the number of people in this age group in 1998. By the year 2018, it is estimated that 18.5% of the population of the U.K. will be age 65 and older.

The latest statistics from the World Health Organization indicate that total healthcare expenditures in the U.K. were equivalent to 8.2% of the nation's gross domestic product in 2005; public healthcare expenditures represented 87.1% of total healthcare expenditures in that year.

Due to the increasing use of laparoscopic techniques, over the next five years, double-digit expansion is projected in a number of procedures performed in the U.K. including adrenalectomy, coronary artery surgery, liver biopsy and tumor excision, minimally invasive spinal fixation, and total disc replacement.

The surgical procedures covered by this report include cardiovascular/peripheral vascular surgery; neurosurgery; obstetric/gynecologic surgery; ophthalmic surgery; orthopedic/arthroscopic surgery; otorhinolaryngologic surgery; spine surgery; and urologic surgery as well as the general surgical areas of adrenalectomy and appendectomy, breast surgery, cholecystectomy, esophagogastric and gastroduodenal surgery, inguinal hernia repair, liver biopsy and tumor excision, and splenectomy.

This new report from Medtech Insight includes the procedure volumes forecasts for open and laparoscopic surgery in the above-mentioned areas for the U.K. for the years 2008 through 2013. Topics covered by this report include an overview of European healthcare and regulatory policies, technological advancements in minimally invasive surgery, and trends in healthcare funding and reimbursement in the U.K.

TABLE OF CONTENTS:
EXECUTIVE SUMMARY

i. Trends toward Minimally Invasive Surgery
ii. Cardiovascular/Peripheral Vascular Surgery
iii. General Surgery
iv. Neurosurgery
v. Obstetric/Gynecologic Surgery
vi. Ophthalmic Surgery
vii. Orthopedic/Arthroscopic Surgery
viii. Otorhinolaryngologic Surgery
ix. Spine Surgery
x. Urologic Surgery

Exhibit ES-1: United Kingdom, Cardiovascular/Peripheral Vascular Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-2: United Kingdom, General Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-3: United Kingdom, Neurosurgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-4: United Kingdom, Obstetric/Gynecologic Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-5: United Kingdom, Ophthalmic Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-6: United Kingdom, Orthopedic/Arthroscopic Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-7: United Kingdom, Otorhinolaryngologic Surgery, Combined Procedure Volumes Forecast, 2008-2013
Exhibit ES-8: United Kingdom, Spine Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit ES-9: United Kingdom, Urologic Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013

1. EUROPEAN HEALTHCARE OVERVIEW

1.1 The European Union
	1.1.1 A Common Currency
	1.1.2 Regulatory Policies
	1.1.3 Reimbursement
	1.1.4 Healthcare Spending
	1.1.5 Factors Affecting European Surgical Procedure Volumes
		1.1.5.1 Technological Advancements in Minimally Invasive Surgery
		1.1.5.2 Improvements in Surgical Instrumentation
		1.1.5.3 Robot-Assisted Surgery
	1.1.6 Traditional versus Nontraditional Healthcare Delivery
		1.1.6.1 Outpatient Surgery Centers
		1.1.6.2 Long-Term and Rehabilitative Care Facilities
		1.1.6.3 Community-Based Healthcare and Homecare Agencies
1.2 Selected National Healthcare Profiles for the United Kingdom
	1.2.1 Healthcare Organization and Reform
	1.2.2 Hospital Services
	1.2.3 Medical Device Reimbursement

Exhibit 1-1: European Union, Medical Devices Risk Classification System
Exhibit 1-2: European Union Population Statistics Comparison for the Years 1998, 2008, and 2018
Exhibit 1-3: United Kingdom, 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
	2.4.1 Surgical Aneurysm Clipping
	2.4.2 Cerebral Aneurysm Embolization
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 Treatment
	2.6.1 Carotid Artery Stenting
	2.6.2 Carotid Endarterectomy
	2.6.3 Femoropopliteal Bypass
	2.6.4 Peripheral Percutaneous Revascularization Techniques
		2.6.4.1 Peripheral Percutaneous Transluminal Angioplasty
		2.6.4.2 Peripheral Atherectomy
		2.6.4.3 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
2.9 Heart Transplantation
	2.9.1 Heart-Lung Transplantation

Exhibit 2-1: United Kingdom, Aneurysm Repair, Procedure Volumes Forecast, 2008-2013
Exhibit 2-2: United Kingdom, Coronary Artery Surgery, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 2-3: United Kingdom, Minimally Invasive Cardiovascular Intervention, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 2-4: United Kingdom, Peripheral Vascular Surgery, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 2-5: United Kingdom, Heart Defect Correction, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 2-6: United Kingdom, Cardiac Device Implantation, Procedure Volumes Forecast, by Device Type, 2008-2013
Exhibit 2-7: United Kingdom, Heart and Heart-Lung Transplantation, Procedure Volumes Forecast, 2008-2013

3. GENERAL SURGICAL PROCEDURES

3.1 Adrenalectomy
3.2 Appendectomy
3.3 Breast Procedures
	3.3.1 Augmentation and Reduction Mammoplasty
	3.3.2 Biopsy
		3.3.2.1 Surgical Biopsy
		3.3.2.2 Needle Biopsy
		3.3.2.3 Lumpectomy
	3.3.3 Mastectomy
		3.3.3.1 Prophylactic Mastectomy
		3.3.3.2 Simple Mastectomy
		3.3.3.3 Radical and Modified Radical Mastectomy
3.4 Cholecystectomy
3.5 Esophagogastric and Gastroduodenal Procedures
	3.5.1 Bariatric Surgery
	3.5.2 Esophagogastric Fundoplasty
	3.5.3 Peptic Ulcer Repair
3.6 Inguinal Herniorrhaphy
3.7 Colectomy
3.8 Liver Biopsy
3.9 Splenectomy

Exhibit 3-1: United Kingdom, Open and Laparoscopic Adrenalectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 3-2: United Kingdom, Open and Laparoscopic Appendectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 3-3: United Kingdom, Breast Surgery, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 3-4: United Kingdom, Open and Laparoscopic Cholecystectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 3-5: United Kingdom, Esophagogastric and Gastroduodenal Surgery, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 3-6: United Kingdom, Open and Laparoscopic Inguinal Herniorrhaphy, Procedure Volumes Forecast, 2008-2013
Exhibit 3-7: United Kingdom, Open and Laparoscopic Colectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 3-8: United Kingdom, Open and Laparoscopic Liver Biopsy and Tumor Excision, Procedure Volumes Forecast, 2008-2013
Exhibit 3-9: United Kingdom, Open and Laparoscopic Splenectomy, Procedure Volumes Forecast, 2008-2013

4. NEUROSURGICAL PROCEDURES

4.1 Cerebral Aneurysms
4.2 Brain Tumors
4.3 Head Trauma
4.4 Hydrocephalus
	4.4.1 Intracranial Pressure Monitoring
	4.4.2 Cerebrospinal Fluid Shunting and Drainage
4.5 Stereotaxis

Exhibit 4-1: United Kingdom, Intracranial Pressure Monitoring, Procedure Volumes Forecast, 2008-2013
Exhibit 4-2: United Kingdom, Cerebrospinal Fluid Shunting, Procedure Volumes Forecast, 2008-2013
Exhibit 4-3: United Kingdom, Stereotaxis, Procedure Volumes Forecast, 2008-2013

5. OBSTETRIC/GYNECOLOGIC SURGICAL PROCEDURES

5.1 Cesarean Section
5.2 Dilation and Curettage
5.3 Hysterectomy
	5.3.1 Minimally Invasive Hysterectomy
5.4 Hysteroscopy
	5.4.1 Endometrial Ablation
	5.4.2 Exploration and Adhesiolysis
	5.4.3 Myomectomy
5.5 Oophorectomy
5.6 Salpingectomy
5.7 Tubal Ligation

Exhibit 5-1: United Kingdom, Cesarean Section Delivery, Procedure Volumes Forecast, 2008-2013
Exhibit 5-2: United Kingdom, Dilation and Curettage, Procedure Volumes Forecast, 2008-2013
Exhibit 5-3: United Kingdom, Open and Laparoscopic Hysterectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 5-4: United Kingdom, Endometrial Ablation, Procedure Volumes Forecast, 2008-2013
Exhibit 5-5: United Kingdom, Open and Laparoscopic Exploration and Adhesiolysis, Procedure Volumes Forecast, 2008-2013
Exhibit 5-6: United Kingdom, Open and Laparoscopic Myomectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 5-7: United Kingdom, Open and Laparoscopic Oophorectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 5-8: United Kingdom, Open and Laparoscopic Salpingectomy, Procedure Volumes Forecast, 2008-2013
Exhibit 5-9: United Kingdom, Tubal Ligation, Procedure Volumes Forecast, 2008-2013

6. OPHTHALMIC SURGICAL PROCEDURES

6.1 Cataract Surgery and Intraocular Lens Implantation
6.2 Refractive Surgery
	6.2.1 Astigmatic, Hexagonal, and Radial Keratotomy
	6.2.2 Photorefractive Keratotomy
	6.2.3 Automated Lamellar Keratoplasty
	6.2.4 Corneal Ring Implantation
	6.2.5 Corneal Transplantation
	6.2.6 Laser-Assisted In Situ Keratomileusis
	6.2.7 Laser Epithelial Keratomileusis
6.3 Strabismus Correction

Exhibit 6-1: United Kingdom, Cataract Surgery and Intraocular Lens Implantation, Procedure Volumes Forecast, 2008-2013
Exhibit 6-2: United Kingdom, Refractive Surgery, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 6-3: United Kingdom, Strabismus Correction, Procedure Volumes Forecast, 2008-2013

7. ORTHOPEDIC/ARTHROSCOPIC SURGICAL PROCEDURES

7.1 Fracture Repair
7.2 Joint Replacement
	7.2.1 Hip Replacement
	7.2.2 Knee Replacement
	7.2.3 Shoulder Replacement
	7.2.4 Small Joint Replacement
7.3 Arthroscopy
	7.3.1 Articular Cartilage Repair
	7.3.2 Ligament Repair
		7.3.2.1 Acromioclavicular Joint Resection
		7.3.2.2 Anterior Cruciate Ligament Reconstruction
		7.3.2.3 Posterior Cruciate Ligament Reconstruction
	7.3.3 Loose Body Removal
	7.3.4 Meniscal Repair
	7.3.5 Tendon Repair
		7.3.5.1 Carpal Tunnel Release
		7.3.5.2 Rotator Cuff Repair
Exhibit 7-1: United Kingdom, Fracture Management, Procedure Volumes Forecast, 2008-2013
Exhibit 7-2: United Kingdom, Hip Replacement, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-3: United Kingdom, Knee Replacement, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-4: United Kingdom, Shoulder Replacement, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-5: United Kingdom, Small Joint Replacement, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-6: United Kingdom, Joint Replacement, Combined Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-7: United Kingdom, Ligament Repair, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-8: United Kingdom, Loose Body Removal, Procedure Volumes Forecast, 2008-2013
Exhibit 7-9: United Kingdom, Meniscal Repair, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-10: United Kingdom, Tendon Repair, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 7-11: United Kingdom, Arthroscopic Surgery, Combined Procedure Volumes Forecast, by Type, 2008-2013

8. OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES

8.1 Adenoidectomy/Tonsillectomy
8.2 Myringotomy with Tympanostomy Tube Replacement
8.3 Rhinoplasty
8.4 Septoplasty
8.5 Tracheotomy

Exhibit 8-1: United Kingdom, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, by Type, 2008-2013

9. SPINE SURGERY

9.1 Total Disc Replacement
9.2 Disc and Bone Removal
	9.2.1 Discectomy
	9.2.2 Laminectomy and Laminotomy
9.3. Spinal Fusion
	9.3.1 Anterior Lumbar Interbody Fusion
	9.3.2 Posterior Lumbar Interbody Fusion
	9.3.3 Instrumented Fusion
	9.3.4 Thoracic Fusion
	9.3.5 Cervical Fusion
	9.3.6 Minimally Invasive Spinal Fixation

Exhibit 9-1: United Kingdom, Total Disc Replacement, Procedure Volumes Forecast, 2008-2013
Exhibit 9-2: United Kingdom, Disc and Bone Removal, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 9-3: United Kingdom, Lumbar Fusion, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 9-4: United Kingdom, Thoracic Fusion, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 9-5: United Kingdom, Cervical Fusion, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 9-6: United Kingdom, Minimally Invasive Spinal Fixation, Procedure Volumes Forecast, 2008-2013

10. UROLOGIC SURGICAL PROCEDURES

10.1 Bladder Neck Hypermobility and Urinary Incontinence
10.2 Nephrectomy and Kidney Transplantation
10.3 Prostate Procedures
	10.3.1 Prostatectomy
		10.3.1.1 Radical Prostatectomy
		10.3.1.2 Transurethral Resection of the Prostate
	10.3.2 Minimally Invasive Benign Prostatic Hyperplasia Therapy
	10.3.3 Prostatic Urethral Stent Placement
10.4 Stone and Obstruction Removal

Exhibit 10-1: United Kingdom, Bladder Neck Hypermobility Correction, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 10-2: United Kingdom, Intrinsic Sphincter Deficiency Correction, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 10-3: United Kingdom, Nephrectomy and Kidney Transplantation, Procedure Volumes Forecast, 2008-2013
Exhibit 10-4: United Kingdom, Prostate Disease/Disorder Management, Procedure Volumes Forecast, by Type, 2008-2013
Exhibit 10-5: United Kingdom, Kidney Stone Management, Procedure Volumes Forecast, by Type, 2008-2013


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