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 Italy. 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 Italy alone.
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 Exhibit ES-1: Italy, Cardiovascular/Peripheral Vascular Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-2: Italy, Cosmetic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-3: Italy, General Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-4: Italy, Major Organ Transplantation, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-5: Italy, Neurosurgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-6: Italy, Obstetric/Gynecologic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-7: Italy, Ophthalmic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-8: Italy, Orthopedic/Spine Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-9: Italy, Otorhinolaryngologic Surgery, Combined Procedure Volumes Forecast, by Type, 2010-2016 Exhibit ES-10: Italy, 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 Italy 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: 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 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: Italy, Aneurysm Repair, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 2-2: Italy, Coronary Artery Bypass Graft Surgery, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 2-3: Italy, Percutaneous Coronary Interventions/Stenting, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 2-4: Italy, Transmyocardial Revascularization, Procedure Volumes Forecast, 2010-2016 Exhibit 2-5: Italy, Thrombectomy and Thrombolysis, Procedure Volumes Forecast, 2010-2016 Exhibit 2-6: Italy, Peripheral Vascular Disease Treatment, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 2-7: Italy, Heart Defect Repair, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 2-8: Italy, 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: Italy, Abdominoplasty, Procedure Volumes Forecast, 2010-2016 Exhibit 3-2: Italy, Blepharoplasty, Procedure Volumes Forecast, 2010-2016 Exhibit 3-3: Italy, Breast Augmentation, Procedure Volumes Forecast, 2010-2016 Exhibit 3-4: Italy, Breast Reduction Procedure Volumes Forecast, 2010-2016 Exhibit 3-5: Italy, Liposuction, Procedure Volumes Forecast, 2010-2016 Exhibit 3-6: Italy, Mastopexy, Procedure Volumes Forecast, 2010-2016 Exhibit 3-7: Italy, Rhinoplasty, Procedure Volumes Forecast, 2010-2016 Exhibit 3-8: Italy, Rhytidectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 3-9: Italy 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: Italy, Adrenalectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 4-2: Italy, Appendectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 4-3: Italy, Bariatric Surgery, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 4-4: Italy, Cholecystectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 4-5: Italy, Colectomy, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 4-6: Italy, Esophagogastric Fundoplasty, Procedure Volumes Forecast, 2010-2016 Exhibit 4-7: Italy, Hemorrhoidectomy and Other Hemorrhoid Treatments, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 4-8: Italy, Inguinal Herniorrhaphy, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 4-9: Italy, 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: Italy, Patients Awaiting Organ Transplant, by Type, 2006-2010 Exhibit 5-2: Italy, 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: Italy, Ventricular Shunting and Ventriculostomy, Procedure Volumes Forecast, 2010-2016 Exhibit 6-5: Italy, Deep Brain Stimulation and Stereotactic Radiosurgery, Procedure Volumes Forecast, 2010-2016 Exhibit 6-6: Italy, Evacuation of Subdural Hematoma, Procedure Volumes Forecast, 2010-2016 Exhibit 6-7: Italy, Cerebral Aneurysm Clipping, Procedure Volumes Forecast, 2010-2016 Exhibit 6-8: Italy, Arteriovenous Malformation Embolization, Procedure Volumes Forecast, 2010-2016 Exhibit 6-9: Italy, Carotid Endarterectomy and Carotid Artery Stenting, Procedure Volumes Forecast, 2010-2016 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 Exploration and Adhesiolysis 7.4.3 Myomectomy 7.5 Oophorectomy 7.6 Salpingo-Oophorectomy 7.7 Tubal Ligation Exhibit 7-1: Italy, Cesarean Section, Procedure Volumes Forecast, 2010-2016 Exhibit 7-2: Italy, Dilation and Curettage, Procedure Volumes Forecast, 2010-2016 Exhibit 7-3: Italy, Hysterectomy, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 7-4: Italy, Endometrial Ablation, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 7-5: Italy, Exploration and Adhesiolysis, Procedure Volumes Forecast, 2010-2016 Exhibit 7-6: Italy, Myomectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 7-7: Italy, Oophorectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 7-8: Italy, Salpingo-Oophorectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 7-9: Italy, 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: Italy, Age-Related Macular Degeneration Treatment, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 8-2: Italy, Cataract Surgery and Intraocular Implantation, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 8-3: Italy, Diabetic Retinopathy Surgery, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 8-4: Italy, Glaucoma Surgery, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 8-5: Italy, Refractive Surgery, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 8-6: Italy, Strabismus Correction, Procedure Volumes Forecast, 2010-2016 Exhibit 8-7: Italy, 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: Italy, Internal Fixation/Fracture Repair of the Femur and Tibia/Fibula, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 9-2: Italy, External Fixation, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 9-3: Classification of Anterior Cervical Plates Exhibit 9-4: Italy, 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: Italy, Total Hip Replacement, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 9-8: Italy, Total and Unicompartmental Knee Replacement, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 9-9: Italy, Total Shoulder Replacement, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 9-10: Italy, 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: Italy, Adenoidectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 10-2: Italy, Mastoidectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 10-3: Italy, Myringotomy and Tube Placement, Procedure Volumes Forecast, 2010-2016 Exhibit 10-4: Italy, Septoplasty, Procedure Volumes Forecast, 2010-2016 Exhibit 10-5: Italy, Tonsillectomy, Procedure Volumes Forecast, 2010-2016 Exhibit 10-6: Italy, Tracheostomy, Procedure Volumes Forecast, 2010-2016 Exhibit 10-7: Italy and Europe, Otorhinolaryngologic Surgery, Procedure Volumes Forecast, by Type, 2010-2016 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, by Type, 2010-2016 Exhibit 11-2: Italy, Kidney Stone Removal, Procedure Volumes Forecast, by Type, 2010-2016 Exhibit 11-3: Italy, Urinary Incontinence Treatment, Procedure Volumes Forecast, by Type, 2010-2016
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