Japan Hernia Market Total Hernia 132,200 Inguinal 112,000 85% Lap. 3,360 3% TEPP 910 27.1% Ventral 20,200 15% Open 108,640 97% TAPP 2,450 72.9% PHS Plug 19,000 62,000 Lap. 202 1% Open 19,998 99% Kugel others 800 26,840 # of case per hernia procedures* # of cases 6,000 5,000 Others 4,000 Conventional Method PHS 3,000 Mesh Plug 2,000 TEP TAPP 1,000 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 * Data Source: JSES 5-6, December 2000 Lap. Approach for Inguinal Hernia 27% TAPP TEP 73% * Data Source: JSES 5-6, December 2000 Hernia Market U.S. Total Hernia Market 924,000 Inguinal – 740,000 Open – 644,000 (87% Inguinal) Lap – 96,000 (13% Inguinal) TEP – 62,000 (65% Lap) Ventral – 184,000 Open – 149,000 (80% Ventral) TAPP – 34,000 (35% Lap) Lap – 37,000 (20% Ventral) Hernia Market EUROPE Total Hernia Market 950,000 Ventral-200,000 Inguinal-750,000 Open – 600,000 (80% Inguinal) Lap – 150,000 (20% Inguinal) Open – 150,000 (75% Ventral) TEP-54,000 TAPP-96,000 36% 64% Lap – 50,000 (25% Ventral) TEP - 62K (65% Lap) TAPP - 34K (35% Lap)
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