Uterine manipulators can be defined as surgical devices that play an
important role in laparoscopic gynecological surgeries such as
hysterectomy, wherein they enable holding the cervix in place and
facilitate complete visualization of the uterus. These devices are
employed in various types of surgeries such as total laparoscopic
hysterectomy, partial laparoscopic hysterectomy, and
laparoscopy-assisted vaginal hysterectomy. In the laparoscopic
hysterectomy procedure, a uterine manipulator is inserted to enable
upward movement of the uterus. Uterine manipulators can be adjusted
in different angles enabling the operator to rotate the uterus so as
to get a holistic view of anatomical structures. These are distally
flexible.
They come with various attachments as per the size of the uterus.
Uterine manipulators that come with lateral irrigation inlets are
also known as replaceable uterine probes. Uterine manipulators have
three types of movements including retroversion and anteversion
movements, lateral movement, and elevation movement. Retroversion and
anteversion movements provide good exposure of utero-sacral
ligaments, anterior and posterior walls of the uterus, and
vesico-uterine fold. The lateral movement provides exposure of
utero-ovarian ligaments and infundibolo-pelvic ligaments. The
elevation movement enables upward movement of the uterus in the
abdomen to provide exposure of utero-sacral ligaments.
The market for uterine manipulators is anticipated to expand during
the forecast period, owing to increase in the number of surgeries.
For instance, in the U.S., an average of 600,000 hysterectomies are
performed every year; over 100,000 in the U.K.; over 30,000 in
Australia; and over 60,000 in France. According to research studies,
the total number of hysterectomies performed laparoscopically had
increased by over 20% until 2010 in the U.S.
The growing focus on women’s health and hygiene, rising awareness
among people, increasing investments in enhancing the health care
infrastructure in developing economies, and growing elderly
population are anticipated to promote growth of the market for
uterine manipulators in the next few years. However, low disposable
income of people in emerging markets, lack of experience in employing
uterine manipulators, and complexity in assembling these devices may
hamper the market during the forecast period.
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The global uterine manipulators market can be segmented based on
product type, application, end-user, and region. Based on product
type, the market can be divided into Hohl type uterine manipulators,
Clermont Ferrand type uterine manipulators, Donnez type uterine
manipulators, Advincula Arch type uterine manipulators, Tintara type
uterine manipulators, and others. Based on application, the uterine
manipulators market can be classified into diagnostic procedures,
partial hysterectomy, and full hysterectomy. Based on end-user, the
market can be segregated into hospitals, clinics, ambulatory surgical
centers, and specialty gynecological centers.
Geographically, the global uterine manipulators market can be
segmented into five regions: North America, Europe, Latin America,
Asia Pacific, and Middle East & Africa. North America accounted
for the maximum share of the global market, in terms of revenue, in
2016 and the trend is anticipated to continue during the forecast
period. High growth of the market in the region can be attributed to
well-established health care infrastructure, increasing awareness
among people, and the growing number of diagnostic procedures
requiring uterine manipulators.
Europe is expected to be the second-largest market for uterine
manipulators in the near future. However, sluggish growth of the
economy of the region is likely to negatively impact the market in
Europe in the next few years. The market in Asia Pacific is
anticipated to register a significantly high CAGR during the forecast
period, owing to factors such as increasing patient population and
rising government focus on enhancing health care facilities.
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Leading players operating in the global uterine manipulators market
are B. Braun Melsungen AG, CooperSurgical, Inc., Conkin Surgical
Instrument Ltd., Ethicon Inc. (a part of Johnson & Johnson), C.
R. Bard, Inc., BISINGER GmbH, CONMED Corporation, Planmeca Oy, KARL
STORZ GmbH & Co. KG, MetroMed Healthcare CO., LTD., and Richard
Wolf GmbH.
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