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There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. We know that asking patients about their satisfaction with their care has nothing to do with the quality of care provided. But the reality is that in Ontario anyway, major hospitals are getting as bad as any private clinic in letting cost considerations trump quality of patient care, but thats a whole other topic. I love doing a variety of different procedures in patients of all ages, sexes, shapes and sizes. Various proposals are set forth for expanding the capacity of the hospital. Myself, and others who are wary of mesh, are reacting to the very real possibility of chronic severe pain, and other complications like erosion, migration, and neuroma that can come from mesh. Now I have mesh and been having issues with it since (6 months) I would of rather rolled the dice on the hernia reoccurring the old fashion way than having something put in me that no one can get out and continues to be an issue. This is why mesh is now preferred. There are many reasons why mesh is used and many people do fine with it. Go for the weight loss and then go for the surgery!! The surgeon who performed my surgery has successfully completed over 10,000 prior repairs. J. Surg. They do not have to do emergency general surgery, ever, how convienient. Pick a curve, any curve (say, the red one). In our small study no patient had any pain after 6 weeks. Hes certainly not done growing. 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. Its called cherry picking the easy cases and its exactly what Shouldice does. https://www.ncbi.nlm.nih.gov/pubmed/10452261. Naturally Id like to see the same for the hospital system. Many didnt even know their surgeons name. 3. shouldice provides hernia repair with a short hospital stay. Ill take my chances with mesh next time all day long. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. I dont think it has been around that long. Dr. Yunis and staff accommodated my physical disability, handicap. View Map. http://Www.desarda.com. Do not use mesh, It can or will disintegrate in time like me and a friend too. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate its a random nonsense. Dr. Shouldice developed his innovative technique during World War II, to help young men who were unable to enlist in the military because of their hernias. Finally, I am sorry you are experiencing problems and I sincerely hope they are at the lower end of the spectrum. If their procedure was outdated/inappropriate in anyway, then why are they still in business helping 7000 healthy, wealthy and skinny people (morale issue again) per year have pain free and hernia free lives? colonel frank o'sullivan interview; beverly hills high school football This clinic needs to keep people in hospital to make money. She suggested that the nerve fibre regrowth in the skin layers around the surgical site may be causing the sensitivity. I had the Shouldice repair a week ago and am doing quite well. They are not sure what the issue for me is caused by. Shouldice patients have said again and again, how much they enjoy the Shouldice experience. Groin hernia repair is a day surgery procedure in Ontario (anywhere but the Shouldice clinic) with no overnight stay required, unless complications arise or in very frail or sick patients. Ive tried to get surgery twice. The food was good. Update from my initial posts: Its coming up on two years (mid-Sep 17) since I had my right side inguinal hernia done by Dr Lisi in Collingwood G&M Hospital using laparoscopic surgery and mesh. We know how to fix recurrence, but fixing mesh complications is a difficult procedure. The rigidity of the program is old school military in nature and does not seem to be keeping pace with evolution. When you come to our clinic for an examination, Shouldice staff will welcome you and arrange for a personal consultation with one of our experienced hernia surgeons. Stop smoking for a least 2 weeks before your surgery. I will stop by here at the 6 month point to provide another update. I have acknowledged in the comments above the rare but real risks of mesh insertion. Pain clinics are full of patients who have had open mesh repairs. Shouldice is a business and I understand that like any business its primary goal is to make money. To you doctors and surgeons; I do wonder if you feel any guilt for installing these meshs in your otherwise healthy patients I certainly couldnt do it from what I now know. Registration will begin at 8:00AM and will close once we have reached the maximum number of appointments available that day. It was then allowed special licence by the Ministry of Health to continue operating. Fully sedated for duration of procedure. That may sound expensive to people from Canada or anywhere else with a cost effective health care system, but keep in mind that health care in the USA is extraordinarily expensive. When staring down the prospect of putting a foreign substance in your body, as a patient you need to be treated with respect and provide knowledge and experience when asked. Employee Training Those who are picked to be on the front-line, are the ones who can help create a great customer experience. Ive had it for about 1.5 yrs now and because its not painful and really just a small bump Ive not bothered with it until last fall when I saw a local general surgeon about it and scheduled the surgery for May as I go away in the winter. It smacks of the sort of paranoid anti-science conspiracy theory sentiment which we are seeing rise around other health issues such as vaccinations and water fluoridation. colonel frank o'sullivan interview; beverly hills high school football (LogOut/ I live in West GTA if theres any way for you to recommend me to be looked at by either yourself or a trusted colleague. Im sure there are anomalies in either system, but like I said, Im rather surprised to hear that a place that is known for its speed (even among layfolk that have no business following the performance of hernia clinics) is being depicted as slower than public held alternatives. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. I had my hernia repaired there on Nov 2nd. You can travel with a hernia as long as its been 3 months since you were seen for it. I will miss the black squirrels. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The problem with Shouldice or The most dangerous phrase in the English language- Weve always done it thisway., http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/, https://www.ncbi.nlm.nih.gov/pubmed/10452261, http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733. Thanks for sharing your positive experience Kram. Your kidding yourself trying to talk anyone into not going here for a repair Both the surgeons i had had well over 10000 repairs and the first one was nearing 30000. On another topic, but those expenditures offer a glimpse as to why medical bills are the primary reason for personal bankruptcy in the USA. But then you will have had two surgeries instead of one, with the risks that entails. I also saw the ambulance chasing lawyer ads in the US regarding mesh failures. There are many companies which manufacture mesh (hundreds) and yes they like to make money. The benefits of mesh far outweigh the risks for the vast majority of adult hernia patients. You share good times with the people you meet there. I would recommend this approach (and frequently do) to anyone, including my patients. Shouldice also offers a variety of services to help you prepare for your hernia operation and improve your recovery. It has lots of windows and a bunch of couches and chairs to relax in, a television and plenty of magazines and newspapers to flip thorough. I wonder if they know about him, or does he go into their success pile? I find it hard to get solid information of one method vs the other, maybe because there really isnt any. This is so helpful! Less with lap but google complications of lap inguinal hernia repairs and you wouldnt touch it with a barge pole. Why? I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. Shouldice effectively skims off elective procedures in a very healthy, wealthy, and slimsegment of the population that is extremely motivated to get their hernias repaired atthis private clinic. The fears of chronic pain and lack of research into Shouldices 99% effectiveness claim are overrated. In general looking forward to a day when performance stats for regulated professionals and their related clinics/practices will be available for scrutiny then we can all make decisions based on merit rather than hearsay or fuzzy notions of reputation etc. Now as a confession of a conflict of interest here, I am a general surgeon who does lots ofhernia repairs at a hospital about an hours drive from the Shouldice. My father needs a hernia operation. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? Physicians cherry pick their patients. Shouldice.com A pioneer among for-profit surgery clinics in Canada has been sold to a private health corporation for $14-million, ending a family-owned dynasty that played a unique role in the. No pain at all and I never took any of the prescribed pain meds. or skilled? Our first available appointment is in July of 2023. No-show patients cost around $200 per unused time slot, and the average no-show rate for most U.S. practices hovers around 20%. Princess of Wales Theatre Royal Alexandra Theatre CAA Ed Mirvish TheatreCAA Theatre, 7750 Bayview Avenue,Thornhill, Ontario,Canada L3T 4A3View Map, Tel: 905-889-1125 Fax: 905-889-4216 Canada: 1-800-291-7750 U.S./International: 1-855-328-3423 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. I wonder if a nerve block might be the answer. Slight modifications were made in each procedure but the procedures were similar . Mesh does reduce the risk of recurrence but does not make it zero. I had little to no pain 4 days after the surgery, and other than a small scar, my groin has been perfect. Like you, I will flying from US and I am not sure how well those stainless steel sutures behave at airport scanners or other body scanners / MRI scanners ?? She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. The doctor in Quebec told him to lose 30lbs and he did but while waiting his hernia became even larger. I would even love to go there and observe their technique, but they are not in the business of educating surgeons, just skimming off our business. My hernia was considerably large and very uncomfortable (both surgeons recommended it get repaired soon as it was quite large and at risk for obstruction in the future) in fact, I was no longer able to play sports anymore. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. Toronto Transit. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? The technique was designed by Dr.Edward Earle Shouldice and became popular when he opened his hernia hospital in 1945 and his technique has attracted patients from all over the world. I have only good things to say about the Shouldice! It may be in part an attempt to keep a surgeon ratings list from being established, as patients are not allowed to pick a surgeon. In this respect, mesh in the future could still have a place but as a last resort rather than the first thing the surgeon grabs! Sorry your husband had such a tough time with his hernia, hope he is doing well now. | Time Lost from work in Hospital| 04 days| 05 days| | Time lost from work while recovering| 05 days| 10 days| | Value of time lost (ranging from $50 to 500 per day)| $450-4500| $750-7500| | Total before Allowancefor recurrence| $1604-6054| $2950-12100| | Probability of Recurrence| 0. NURSING ANESTHESIOLOGIST Have you or your staff followed up with all your patients? I have an inguinal hernia which is more annoying than anything since I play a lot of sports (not painful), but more so I am afraid of chronic pain after the surgery. I went back to work in less than 48 hours and I am very happy with my scar. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. Very good points Tony! In any case my husbands case is exactly the kind of many complicationes hernia that you are talking about although all his many failed hernias and the fistula repair that involved having a large part of his bowl removed were done at major hospitals. Not true.If they Identify an Hernia with no bump, they will ask for repair it. Hi Tyler. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. And if not, would I need further surgery in my 60s if I gain a few pounds. It is nice to have met your surgeon before any surgical procedure though. In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. ParkingOn-site parking is available for hospital and clinic patients for a flat-rate maximum of $15 per day ($50 for the duration of an inpatient stay). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/. I am quite disappointed in myself for not having done a thorough investigation prior to my Shouldice fix. Therefore, it would be more destructive to attempt to accommodate greater numbers of patients at the expense of the quality of either care or facilities. I can accept that this is work that should perhaps be compensated at a different level because of its extra demands. Having said that, the risk of recurrence is much higher with umbilical and epigastric hernias in pregnancy than with groin hernias. Week of Surgery and Hospitalization. NUMBER OF WALK-IN APPOINTMENTS AVAILABLE FOR THE NEXT TWO WEEKS ARE: Monday, March 6th - 0 Monday, March 13th - 12, Tuesday, March 7th - 12 Tuesday, March 14th - 12, Wednesday, March 8th - 24 Wednesday, March 15th - 12, Thursday, March 9th - 40 Thursday, March 16th - 36, Friday, March 10th - 18 Friday, March 17th - 24, 7750 Bayview Avenue,Thornhill, Ontario,Canada L3T 4A3View Map, Tel: 905-889-1125 Fax: 905-889-4216 Canada: 1-800-291-7750 U.S./International: 1-855-328-3423 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More.