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Hernia Repair Device Markets and Procedures
September 1, 2010
This Kalorama Information report, Hernia Repair Device Markets and Procedures
provides global market sizes and forecasts, trends and competitive activity in this
dynamic medical device segment.
The development of prosthetic materials ushered in the current era of hernia surgery,
allowing a tension-free repair to be performed even for the largest defects and the most
difficult procedures. During the past decade, medicine has witnessed a revolutionary
change in prosthetic biomaterials for application in hernia repair. Composite mesh with
absorbable and non-absorbable barriers for intraperitioneal placement, lightweight
macroporous mesh and xenogeneic and allogeneic biological meshes are several of
these novel materials
A handful of companies are involved in the development or marketing of hernia repair
procedures and specialty equipment. The market is considered evolving with growth
opportunity. Developing and developed markets alike have room to grow due to an
aging population worldwide. Among the top and/or innovative competitors discussed
within Corporate Profiles are:
Atrium
B. Braun
Davol/C R Bard
Cook
Covidien
Ethicon
LifeCell
Synovis Life Technologies
TEI Biosciences
W.L.Gore
There are several issues and/or trends that are directly and indirectly affecting the
hernia repair market. Although hernia repair has been performed for many years,
technological advances in both methods and materials have had a large impact on the
market recently and will continue to influence the market in the future. Some of the
issues and trends impacting the market today and in the future include:

2. Advances in Hernia Repair
Sports Hernia Repair
Laparoscopic Hernia Repair
Procedures in England
Fetal Treatment of Hernia Repair
Robotics, MIS and Hernia Repair
Physio Hernia Repair
Hospital Acquired Infections
Kugel Recall
Biotextile Hernia Implants
Obesity, Men, and Hernia Development
Implantable Electrical Stimulator
PatchAssist Hernia Mesh Placement Tool
Patent Analysis
The report’s geographic scope is worldwide with information for specific geographical
regions; world demographics; life expectancy by country, and other general issues
affecting the market. Information is presented as a worldwide overview, with special
emphasis on the U.S., Europe, and other key markets. A market summary includes
market analysis by product and region and a competitive analysis of leading providers.
Additionally, key company profiles are included.
The information for this report was gathered using both primary and secondary research
including comprehensive research of secondary sources such as company literature,
databases, investment reports, and medical and business journals. Telephone
interviews and email correspondence were the primary method of gathering information.
For the purpose of this study, Kalorama Information conducted interviews with more
than 16 key industry officials, consultants, health care providers, and government
personnel. These sources were the primary basis in gathering information specifically
relating to revenue and market share data presented in this report. Additional interviews
were completed with relevant company representatives including marketing directors,
division managers, and product representatives.
The market is segmented by product type: The worldwide hernia market is composed of
two major product types:
Polymer and Prosthetic Mesh
Biologic
Market numbers are provided for:
United States
Europe
Asia and Rest of World

3. All market data pertains to the world market at the manufacturers’ level. The base year
for data was 2009. Historical data was provided for the years 2008, with forecast data
provided for 2010 through 2015. Compound annual growth rates (CAGRs) are provided
for 2008-2015 periods for each region and/or segment covered. Competitive analysis is
provided for the year 2009. The forecasted market analysis for 2009-2015 was largely
based on demographic trends, new developments, innovative technology and global
expansion.
Table of Contents
CHAPTER ONE: EXECUTIVE SUMMARY
Background
Scope and Methodology
Size and Growth of the Market
Key Issues and Trends Affecting Market
Leading Competitors
CHAPTER TWO: INTRODUCTION
Overview
Types of Hernias
o Inguinal Hernia
o Indirect
o Direct
o Anterior Approaches
o Plug-and-Patch Repair
o Posterior Approaches
o Femoral Hernia
o Umbilical Hernia
o Ventral Hernia
o Hiatal Hernia<
Risk Factors
Complications of Hernia Repair Procedures
World Demographics
Prevalence, Incidence and Mortality
Insurance for the Elderly in the United States
Wound Healing in Hernia Repair
o Hernia Wound Healing Process
o Defense Against Injury<
o Mononuclear Phagocyte System
o Inflammatory Response
o Wound Healing Process
o Primary Intention
o Secondary Intention

4. o Tertiary Intention
o Delays of Hernia Wound Healing
o Complications of Wound Healing
o Hypertrophic Scars and Keloid Formation
o Contracture
o Dehiscence
o Excess Granulation Tissue
o Adhesions
o
CHAPTER THREE: HERNIA REPAIR PROCEDURES AND SPECIALTY PRODUCT
ANALYSIS
Types of Hernia Repair Procedures
o Tension Repair
o Open Tension-free Repair
o Laparoscopic Tension-free Repair
o Other Tension-Free Methods
Overview of Products
o Mesh Repair
o Product Properties
o Polymers
o Polypropylene
o Polyester
o PTFE
o Biologics
o
Prosthetic Mesh Repairs
Industry Participants and Product Description
o Bard/Davol
o Ethicon
o Minnesota Medical Development
o Covidien
o TEI BioSciences
o LifeCell
o Organogenesis
o W.L. Gore
o Cook
o Atrium
o Surgical-IOC
o GfE Medizintechnik GmbH
o B Braun Aesculap Division
o Synovis Life Technologies
o Nicast Ltd
o SafeStitch Medical
o Biomerix Corp

5. o Aspide Medical
o Tutogen Medical
CHAPTER FOUR: ISSUES AND TRENDS
Advances In Hernia Repair
o BioMD
o T-Shaped Prosthesis
o
Sports Hernia Repair
Laparoscopic Hernia Repair
Procedures in England
Fetal Treatment of Hernia
Robotics, MIS and Hernia Repair
Physio Hernia Repair
Hospital- Acquired Infection
Kugel Recall
Biotextile Hernia Implants
Obesity, Men and Hernia Development
Implantable Electrical Stimulator
PatchAssist Hernia Mesh Placement Tool
Patent Analysis of top competitors
CHAPTER FIVE: MARKET AND COMPETITOR ANALYSIS
Market Overview
o Market Analysis by Product Type
o Market Analysis by Country
o Competitive Analysis
CHAPTER SIX: LEADING MANUFACTURERS
Overview
Atrium Medical Corporation
B Braun Aesculap Division
Cook Group/ Cook Medical
Covidien Ltd.
CR Bard/Davol
Ethicon, Inc.
LifeCell Corporation
Synovis Life Technologies, Inc
TEI Biosciences
W. L. Gore & Associates Inc

6. APPENDIX: LIST OF MAJOR COMPANIES
TABLE OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
Table 1-1: Forecasted Hernia Repair Procedures and Specialty Equipment
Market Analysis: 2008-2012
Figure 1-1: Hernia Repair Procedures and Specialty Equipment Market Analysis:
2008-2015
CHAPTER TWO: INTRODUCTION
Table 2-1: World Population by Selected Geographical Region, 2010-2050
Figure 2-1: World Population by Selected Geographical Region, 2010-2050
Table 2-2: Estimated World Population by Age and Geographical Region, 2009
Figure 2-2: Estimated World Population by Age and Geographical Region, 2009
Table 2-3: Percent Population Over 65 by Year and Region
Figure 2-3: Estimated World Population by Age, 2009 and 2050
Table 2-4: Health Insurance Trends in the United States, Estimated 2009
CHAPTER THREE: HERNIA REPAIR PROCEDURES AND SPECIALTY PRODUCT
ANALYSIS
Table 3-1: Select Products and Manufacturers of Polymer and Prosthetic Mesh
Hernia Repair Procedure Products
CHAPTER FOUR: ISSUES AND TRENDS
Table 4-1: Finished Consultant Episodes for Repair of Inguinal Hernia and % with
Laparoscopic Surgery in 2008/2009
Table 4-2: Selected Top Competitor Patents
CHAPTER FIVE: MARKET AND COMPETITOR ANALYSIS
Table 5-1: Forecasted Hernia Repair Procedures and Specialty Equipment
Market Analysis: 2008-2015
Figure 5-1: Hernia Repair Procedures and Specialty Equipment Market Analysis:
2008-2015
Table 5-2: Hernia Repair Procedures and Specialty Equipment Market Analysis
by Product Type, 2009
Figure 5-1: Hernia Repair Procedures and Specialty Equipment Market Analysis
by Product Type, 2009
Table 5-3: Hernia Repair Procedures and Specialty Equipment Market Analysis
by Region/Country, 2009
Figure 5-2: Hernia Repair Procedures and Specialty Equipment Market Analysis
by Region/Country, 2009

7. Table 5-4: Hernia Repair and Specialty Equipment Market Revenues and Market
Share of Leading Suppliers, 2009
Figure 5-3: Hernia Repair and Specialty Equipment Market Market Share by
Leading Suppliers, 2009
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