Hernia Repair Devices and Consumables Market

Market Overview

The global hernia repair devices and consumables market size was valued at USD 5,242 million in 2022. It is estimated to reach USD 7,082 million by 2031, growing at a CAGR of 3.4% during the forecast period (2023–2031).

Highlights

• Consumables dominate the product segment.
• Open tension-free repair surgery dominates the surgery type segment.
• The inguinal hernia dominates the hernia-type segment.
• North America is the highest shareholder in the global market.

Hernia protrudes an organ or other body component through the abdominal wall, between the chest and the hips. Hernia typically comprises a portion of the membranous sac that encircles abdominal organs (the peritoneum), including fatty tissues and intestine portions. These protrusions may be present at birth, known as a congenital hernia, or develop at any time after that, known as an acquired hernia. A hernia develops when a weakened muscle or connective tissue or a preexisting opening allows an organ or other tissue to protrude past a barrier.

Not all hernias create symptoms, and various hernias may induce multiple symptoms. A hernia is indicated by a visible lump or protrusion that emerges during specific activities or physical positions and disappears at other times. Hernia repair is a surgical process for treating a hernia and is one of the most commonly performed surgical procedures worldwide. Laparoscopic hernia repair surgery and open tension-free repair surgery are popular methods for hernia repair. These surgeries are performed with the help of fixation devices and consumables (mesh)-based surgery.

Market Dynamics

Global Hernia Repair Devices and Consumables Market Drivers

Increase in Demand for Advanced Meshes

Tension-free repair procedures involve using several types of meshes; therefore, a rise in demand for hernia surgeries is expected to lead to a higher requirement for novel and advanced meshes. These meshes are highly beneficial as they help repair the natural connections between tissues and muscles of the abdomen, thus minimizing infection risks and reducing failure rates. Moreover, 3D meshes are easily applied and exhibit dual functions of both patch and plug at the hernia site.

In addition, many leading manufacturers have developed such products to fulfill the surge in demand. For instance, W.L. Gore and Associates offers Dualmesh plus Biomaterial, an antimicrobial agent-based hernia repair product that inhibits microbial growth. Therefore, increasing the adoption rate of tension-free hernia repair procedures influences the demand for meshes. In addition, manufacturers' advancements in mesh products minimize the infection rate, increasing the usage of progressive meshes, thereby driving the hernia repair devices and consumables market.

Rise in the Adoption of Robotic Surgeries

Since the past decade, the acceptance of robotic surgeries has been increasing worldwide, attributed to high accuracy, high consistency, and low possibilities of errors caused by humans. The arms of robots allow an improved range of motion while eliminating hand tremors. An essential characteristic of robotic surgeries is their ability to render enhanced 3D visualization. In addition, there have been increased strategic collaborations among robotic surgical equipment developers and medical device manufacturers to meet the impending needs of robotic surgeries globally. Robotic laparoscopes transform the ability to calibrate complex hand gestures, permitting delicate work in small areas. Robotic assistance offers improved outcomes, especially in SR inguinal hernia repair procedures, thus fueling market growth.

Global Hernia Repair Devices and Consumables Market Restraint

High Cost of Hernia Repair Surgeries

High costs associated with hernia repair surgeries hamper the growth of the global market. The average expenditure of open hernia surgery ranges between USD 4,200 and USD 6,200, exclusive to doctor's bills. Moreover, laparoscopic or open surgery for umbilical hernia ranges between USD 4,000 and USD 11,000. In addition, high investments in developing hernia repair devices and technologically advanced biological meshes impede market growth. 

Global Hernia Repair Devices and Consumables Market Opportunities

Technological Advancements in Hernia Repair Devices

Using biological material and mesh provides lucrative growth opportunities for the market. Biological mesh creates a durable and permanent hernia repair and increases the rate of tissue incorporation over other conventional technologies. Key participants in this market have initiated research, development, and innovations for developing advanced stem cell-based hernia repair mesh. Chronic pain and post-surgical complications associated with the use of synthetic mesh are comparatively high, which is expected to result in decreased market share of synthetic mesh. Therefore, synthetic mesh manufacturers are anticipated to develop advanced synthetic meshes and work toward minimizing chronic pain and post-surgical complications.

Regional Analysis

Based on region, the global hernia repair devices and consumables market is bifurcated into North America, Europe, Asia Pacific, and LAMEA.

North America Dominates the Global Market

North America held the largest market share and is anticipated to exhibit a CAGR of 2.2% during the forecast period. North America is the most significant revenue contributor globally and is a mature market for hernia repair devices and consumables. Factors such as the increased prevalence of hernia disorders, improved healthcare facilities, supportive government initiatives, and a surge in awareness about hernia surgeries among the population are the key factors that drive the market in North America. Key manufacturers focus on developing innovative hernia repair devices and products. In addition, supportive reimbursements and increased public awareness about hernia repair surgeries boost the market growth. The United States Food and Drug Association (U.S. FDA) regulates the legalities associated with hernia repair devices and consumables, including norms and regulations for product safety, efficacy, and approval process. The launch of several efforts by these regulatory organizations is anticipated to fuel the market's expansion for hernia repair and consumables.

Europe is estimated to exhibit a CAGR of 3.9% during the forecast period. In Europe, incidences of hernia surgeries are growing at a significant rate. Factors such as the high prevalence of hernia and improved technologies with enhanced safety features related to hernia repair surgeries boost the European market. In addition, growth in the geriatric population prone to inguinal hernia due to their weakened abdominal musculature and the need for improved medical applications propel the market growth. Inguinal hernia is the most prominent type of hernia reported among Europeans. Moreover, an unhealthy lifestyle and a rapid increase in the obese population fuel Europe's hernia devices and consumables market growth. Moreover, rising healthcare expenditure and high disposable income may contribute to market growth.

Asia-Pacific stands in third place. Due to rising disposable income, a growing population base, and increased government backing for the healthcare industry. In Asia-Pacific, India, China, and Japan are the most mature markets, and these possess growth opportunities owing to the high geriatric population base. Groin hernia repair is the most common surgery in India, estimated at around 300,000 surgeries per year. In the same region, trained surgeons usually opt for open hernia repair surgery, followed by incisional or ventral hernia surgery. The high prevalence rate of hernia in emerging economies propels the growth of Asia's hernia repair and consumables market. This is ascribed to the fact that most hernia cases remain untreated and undiagnosed. The key companies in this region include C.R. Bard, Medtronic Inc., Ethicon, and others, adopting collaboration and product launch as their major growth strategies. These companies are focused on technological advancements in these devices and consumables. 

LAMEA stands for Latin America, the Middle East, and Africa. LAMEA has the lowest market share due to neglected surgical conditions and less affordable economies such as Africa and the Middle East. However, Brazil holds the maximum share of the LAMEA hernia repair devices and consumables market due to the increasing demand for "premium-priced" hernia repair meshes. The advantages of meshes, such as low infection risks, reduced recovery times, and low recurrence rates, make them highly useful in hernia surgeries. In addition, the growing adoption of laparoscopic procedures that are performed using non-adhesive meshes offers a significant opportunity for market growth. Implementation of government initiatives, such as effective product marketing and training programs for healthcare professionals, drives the expansion of the market in Latin America.

Segmental Analysis

The global hernia repair devices and consumables market is segmented by product, surgery, and hernia type.

Based on product, the global market is segmented into fixation devices and consumables. 

The consumables segment owns the highest market share and is expected to exhibit a CAGR of 3.3% over the forecast period. Surgical mesh is a consumable implant used in hernia operations. Surgical mesh is used in standard procedures of hernia repair surgery and is a loosely woven sheet that supports weakened or damaged tissue. This mesh is placed on weakened abdominal wall tissues using fixation devices, tacks, and straps. Surgical mesh is an essential prosthesis required for all hernia repair treatments. This prosthesis has reduced the recurrence rate of hernia owing to its high degree of alignment with the abdominal wall. This lightweight-mass mesh is widely used for hernia repair because of its thin filament and large pore size. Hernia consumables manufacturers in emerging nations currently have a lot of prospects due to the lack of efficient alternatives for mesh-based hernia repair surgery.

Fixation devices enable long-lasting hernia repairs. The two primary methods for treating hernias are open tension-free repair surgery and laparoscopic hernia repair. Laparoscopic hernia repair surgery involves mesh fixation within the peritoneal cavity, which requires fixation devices. Improper fixation of a mesh may lead to the risk of hernia recurrence. Currently, different types of fixation devices available in the market include metallic appliances (steel or titanium) and electronic fixation devices, which help fix prosthetics or implant to the abdominal wall to cover a wound. Prominent players are creating cutting-edge fixation devices to lower the likelihood of technical failures and expand their market share.

Based on surgery type, the global market is divided into open tension-free repair surgery and laparoscopic surgery. 

The open tension-free repair surgery segment is the highest contributor to the market and is projected to exhibit a CAGR of 3.3% over the forecast period. The "tension-free" repair technique was founded by the Lichtenstein Hernia Institute in 1984. This procedure has been the preferred method for hernia repair since 1994 as it is simple, safe, comfortable, and effective, with a low recurrence rate. According to the American College of Surgeons, this technique is standard for hernia repair. In an open tension-free repair technique, the surgical mesh is a bridge for ingesting new tissue to strengthen the abdominal wall. The mesh in this technique is placed between layers of the abdominal wall; however, in laparoscopic surgery, the mesh is placed behind the abdominal wall. Lichtenstein tension-free hernioplasty is one of the most popular techniques for repairing an inguinal hernia.

A less invasive method for treating various hernias is laparoscopy. This technology has replaced the open tension-free repair surgery approach in many procedures. In laparoscopic hernia repair, the mesh is placed in the pre-peritoneal space of the abdominal cavity. Laparoscopic surgery is more beneficial than open tension-free repair surgery, as it reduces postoperative pain, quick recovery, and shorter patient hospital stays. Laparoscopic hernia repair is also known as a tension-free repair, owing to the minimal requirement of analgesics compared to open tension repairs. Thus, laparoscopic hernia repair is popular among patients. In addition, this surgery has a low recurrence rate, around 1% to 3%, and is a relatively straightforward procedure.

Based on hernia type, the global market is divided into the incisional hernia, umbilical hernia, inguinal hernia, femoral hernia, and other hernia. 

The inguinal hernia segment is the highest contributor to the market and is projected to exhibit a CAGR of 2.8% over the forecast period. In an inguinal hernia, the intestine protrudes via a weak point in the abdominal muscles. The swelling is painful, especially when a patient coughs and bends over or lifts a heavy object. One of the most frequently performed surgeries worldwide, inguinal hernia repair surgery makes up around 75 to 80% of the market for hernia surgery. Inguinal hernia is classified into two types: lateral inguinal hernia and medial inguinal hernia. A medial hernia is a common inguinal hernia type, accounting for around 30 to 40% of the cases and particularly affecting older men. 

Incisional hernia is a common type of hernia caused due to unhealed or incomplete healing of surgical wounds. In this form of hernia, the weakened muscle of the abdomen allows the tissue to protrude through the muscle, leading to a protrusion at or near the surgical incision area. An incisional hernia may be caused as an outcome of abdominal and pelvic operations. It is most likely to occur in obese people and pregnant women. Multiple abdominal surgeries are the major factor for incidences of incisional hernia. Owing to several operations, patients may have poor abdominal wall musculature, ultimately leading to incisional hernia.

Recent Developments

• November 2022- Vicarious Surgical Inc., a next-generation robotics company dedicated to enhancing surgical procedures' cost, efficiency, and outcomes, announced that renowned surgeon Igor Belyansky, MD, successfully used the Vicarious Surgical Beta 2 prototype to perform two cadaveric ventral hernia repair procedures.
• April 2022- Ariste Medical, a pre-commercial drug+device firm, said that it had gained FDA 510(k) approval (#K211132) to market its drug-embedded, synthetic hernia mesh in the United States. The purpose of the new mesh is to limit the possibility of microbial colonization after surgical implantation.