ITALY, SURGICAL PROCEDURE VOLUMES

374 Pages | 91 Exhibits | 2013 Analysis | Forecasts Through 2018 Product Family: Market Reports




OVERVIEW:
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.

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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