Internal Fixation & Sealants Market Research Report, Size, Share, Growth and Forecast to 2030

The global internal fixation and sealants market is expected to grow at a CAGR of approximately 7% over the next five years. Market expansion is being driven by rising surgical procedure volumes, increasing adoption of minimally invasive surgery (MIS) and high-risk procedures, ongoing technological advancements, broader geographic acceptance, and a continued shift toward outpatient surgical settings.

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Internal fixation products are primarily used for tissue support and mesh fixation, with hernia repair representing the largest application area. Surgical sealants are utilized to prevent internal fluid leakage in procedures such as gastrointestinal, thoracic, and cardiovascular surgeries. The internal fixation segment comprises both mechanical systems (such as tacks) and adhesive-based solutions. Together, fixation devices and sealants work synergistically to enhance surgical performance across adult and pediatric populations, helping to reduce postoperative complications.

Growing adoption of MIS and high-risk procedures driving demand

The rising use of minimally invasive and high-risk surgical procedures is significantly boosting demand for internal fixation devices and surgical sealants. Over the past decade, MIS and robot-assisted surgeries have accounted for an increasing share of inpatient procedures, owing to benefits such as reduced patient trauma, shorter hospital stays, and faster recovery compared to open surgeries. In hernia repair, laparoscopic techniques require reliable fixation solutions to secure mesh to intra-abdominal structures. Mechanical tacks and adhesive fixation systems enable precise, secure fixation with minimal invasiveness, aligning well with MIS principles. Similarly, surgical sealants are increasingly used as adjuncts to reduce complications such as fluid leakage, thereby improving overall surgical outcomes.

High-risk procedures—including gastrointestinal, thoracic, and cardiovascular surgeries—also present significant growth opportunities. In gastrointestinal surgery, sealants play a critical role in preventing anastomotic leaks, which are among the most serious postoperative complications. In thoracic and cardiovascular procedures, where surgical risk is elevated, sealants help manage bleeding and control fluid movement across fragile tissues. For internal fixation, complex hernia repairs such as ventral or incisional hernias require robust fixation solutions with expanded regulatory indications, supporting the use of higher-priced, premium products. Advanced fixation systems for abdominal wall reconstruction often combine mechanical and adhesive approaches to enhance stability and reduce recurrence rates.

As surgical practices evolve, increasing emphasis on MIS and complex high-risk procedures is encouraging manufacturers to develop innovative, premium-priced internal fixation and sealant products. Investments are being made in bioabsorbable fixation systems and next-generation sealants designed to adapt to tissue healing and degradation, thereby minimizing long-term complications. For example, bioabsorbable tacks that gradually dissolve can reduce chronic pain associated with permanent implants, while advanced sealants with improved biocompatibility are expanding beyond traditional gastrointestinal and cardiac indications. This trend toward minimally invasive and complex surgeries is expected to support sustained market growth while enabling product differentiation and premium pricing.

Technological advancements fueling market growth

Technological innovation in internal fixation and sealants is enhancing surgical precision, safety, and outcomes, thereby accelerating market growth. Developments such as bioabsorbable tacks and adhesive-based fixation systems help reduce long-term complications and support minimally invasive applications. Likewise, next-generation sealants offering improved biocompatibility, stronger adhesion, and faster setting times are gaining traction in gastrointestinal, thoracic, and cardiovascular surgeries.

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Notable recent advancements include:

• November 2023: H.B. Fuller launched Swiftmelt 1515-I, its first biocompatible adhesive for medical tape applications, designed to maintain secure adhesion under high temperature and humidity conditions in the IMEA region.
• May 2022: Advanced Medical Solutions Group plc received FDA 510(k) clearance for LiquiBand XL, a wound closure device that combines surgical mesh and adhesive for longer wounds.

These innovations enhance efficiency in complex surgical procedures, support premium pricing strategies, and attract broader adoption. As hospitals increasingly prioritize faster patient recovery and reduced complication rates—particularly hospital-acquired infections—advanced fixation and sealant technologies are expected to drive sustained market growth.

Growing acceptance supporting market expansion

Increasing acceptance of internal fixation devices and surgical sealants among surgeons and hospitals is a key factor driving market growth. In the United States, surgeons and healthcare facilities demonstrate strong willingness to adopt advanced adhesives and sealants, even at higher price points, due to their ability to improve efficiency, reduce complications, and shorten recovery times. This trend is reinforced by younger surgeons who are trained early in the use of these technologies, accelerating the shift away from traditional suturing techniques. As a result, the US market continues to set benchmarks for adoption and innovation.

In Europe, adoption has historically been more conservative; however, growing acceptance among younger surgeons indicates steady long-term growth potential. The region remains underpenetrated, with over 80% of hernia mesh fixation procedures still relying on mechanical tacks. Nevertheless, interest in adhesive-based fixation is increasing due to benefits such as reduced tissue trauma, safer fixation in sensitive anatomy, and lower postoperative pain.

Beyond hernia repair, the clinical advantages of adhesives and sealants are expanding their use in gastrointestinal, thoracic, and cardiovascular surgeries. Their ability to reduce bleeding, leaks, and recurrence positions them as valuable alternatives or adjuncts to conventional closure methods. The emergence of bioabsorbable and highly biocompatible adhesives aligns with evolving surgical needs and value-based care models, where improved outcomes justify higher product costs. Growing acceptance across developed and emerging markets is expected to sustain long-term market momentum.

Product segment outlook

Sealants represent the larger segment of the internal fixation and sealants market, primarily used in dural closure, thoracic and lung sealing, and bowel sealing procedures. Their broad applicability across multiple surgical specialties—including bleeding control and tissue sealing—contributes to their larger market size. In contrast, internal fixation adhesives are more specialized, with primary use in hernia mesh fixation and select niche procedures, limiting their overall share. However, the internal fixation segment is expected to register a higher CAGR during the forecast period, driven by increasing demand for specialized hernia repairs, expanding use in cosmetic and trauma surgeries, and continued technological advancements.

Regional outlook

North America is expected to maintain the largest share of the global internal fixation and sealants market in 2025. The United States remains the largest and fastest-growing market, supported by expanding healthcare budgets, advanced surgical infrastructure, high procedure volumes, and rapid adoption of MIS. A strong presence of outpatient surgical centers and a higher willingness among US surgeons to adopt innovative technologies—despite premium pricing—further supports growth. Europe represents a significant but slower-growing market, while Asia-Pacific, Latin America, and the Middle East & Africa currently account for smaller shares but offer substantial long-term growth potential as healthcare access and infrastructure continue to expand.

Competitive landscape

The global internal fixation and sealants market includes both established and emerging players such as Ethicon (Johnson & Johnson Surgical Technologies), Medtronic plc, Advanced Medical Solutions Group plc, Becton, Dickinson and Company, H.B. Fuller, B. Braun SE, TISSIUM, Integra LifeSciences Corporation, Healthium Medtech Limited, and Artivion, Inc., among others. Key strategies adopted by these companies include product innovation and development, strategic partnerships and collaborations, mergers and acquisitions, and geographic expansion to strengthen market presence.

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Global Internal Fixation & Sealants Market Segmentation

This report by Medi-Tech Insights provides the size of the global internal fixation & sealants market at the regional- and country-level from 2024 to 2031. The report further segments the market based on product, application, and end-user.

Market Size & Forecast (2024-2031), By Product, USD Billion

• Internal Fixation Products
• Sealants

Market Size & Forecast (2024-2031), By Application, USD Billion

• Hernia Repair
• Gastrointestinal (GI) Surgeries
• Cardiovascular Surgeries
• Other Applications

Market Size & Forecast (2024-2031), By End-user, USD Billion

• Hospitals
• Ambulatory Surgical Centers (ASCs)
• Other End Users

Market Size & Forecast (2024-2031), By Region, USD Billion

• North America
  • US
  • Canada
• Europe
  • UK
  • Germany
  • France
  • Italy
  • Spain
  • Rest of Europe
• Asia Pacific
  • China
  • India
  • Japan
  • Rest of Asia Pacific
• Latin America
• Middle East & Africa

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