I . Surely theres an advantage to exclusive, specialized hernia repairs that general surgery wouldnt necessarily encompass? If I was doing the Shouldice repair with no mesh and keeping my patients in hospital for 5 days after hernia surgery, I would probably have my competence questioned, and with good reason. 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: 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. As a surgeon with intimate knowledge of hernia repair, does the actual technique have a solid, anatomical basis and biological plausibility? cleveland clinic hillcrest hospital map; 27th division cemetery; columbia pfg bahama vs tamiami; shouldice clinic wait timessam quek strictly come dancing. To do less would be to jeopardize the positive end result. I hope that is helpful. It is very painful to walk, stand, cough, sneeze, laugh, use the washroom in any capacity and expect from the bruising that this will carry on for atleast another week. You dont know till you try it if it is going to help or not. Same nurse. Also, he only went there after years of being discouraged by general surgeons such as yourself but after multiple failed hernia surgeries by these same general surgeons. You . EMR should allow for reporting of all surgical complications and feedback to the surgeons on their complications, including how many of their hernias recur. While I do like my patients to rest after surgery, they dont need to do it in a hospital setting. Physicians (surgeons) do what is best for themselves and the patient when making the decision whether or not to operate. The worst things said seem to be about the dcor of the hospital, the way the nurses and doctors treat you/pillows too small/beds like rubber etc. Im not happy about Shouldice being sold to a private company but I do not see that your critique of their prior history is based on any accurate or well-analysed information. Shouldice Hospital is a bit of curious place. Other operators. 5 weeks after surgery, my scar looks pretty much healed and I expect it will fade with time. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Its one of the great things about my job. We regret that we cannot make reservations on your behalf. They have been quite successful with it. Thank you. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. 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. I generally will do any umbilical hernia under 1 cm in size without mesh, but that is not an absolute and depends on a lot of factors, including my discussion with the patient. She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. Shouldice refused to accommodate my disability. Hernias of all sizes can be repaired without mesh, but as a surgeon it is frustrating to repair a hernia without mesh in a patient you know has almost 100 % risk of recurrence in their lifetimes. Based on my experience thus far, I would recommend Shouldice to those who are considering it. Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. I was referred to a surgeon by my pcp and met with him shortly after my pcp said I had a hernia. My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. If I could go back Id take my chances on reoccurance hands down. Morrison said studies show 10-20 per cent of people are left with chronic pain. Change), You are commenting using your Twitter account. I am quite sore, I am bruised from my left hip bone to my scrotum including everything in between. From what I understand well above 90% of Inguinal Hernia operations are successful, and that this is considered to be a routine operation by the medical profession. When I went for my pre-op. We now have detailed records on more than 400,000 patients and maintain one of the most comprehensive database on hernia repair in the world. I just had my inguinal hernia repaired at Shouldice. Straight truth from the USA here folks. They are not sure what the issue for me is caused by. 5. shouldice offers a social experience. Change), You are commenting using your Facebook account. And yes chronic pain is an issue which needs to be better studied in terms of techniques to prevent it and treatments. They give you good care. I had a double inguinal done at Shouldice 10 weeks ago and was in a fair bit of discomfort for the first 8 weeks but am feeling much better now and am thankful I have no mesh to disrupt things down the road. About Shouldice Hernia Clinic | Hernia Repair and Treatment Hospital Canada Only 5 days, so still too early to comment on final result, but: I slept very well there (pain meds are handed out at need, in other words you had to ask for them, after day of surgery very many forgot to ask shortly before bed and so had a bad night). Besides the fact that it looks weird, my only concern is that given that Im only 42, the hernia is just going to get worse better to repair the pothole now than to wait for an emergency in the future. And If I wasnt beginning to suffer the effects of cabin fever, and didnt have a life to get back to, I was almost sorry to leave to return to the UK. 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. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. This is directed towards user, Toronto: I had my inguinal hernia operated on after much internal (and external debate with various health professionals) by the Shouldice clinic. I wonder what steps should I take once Im ready to see a new surgeon in Ontario? So Im going to outline some of my problems with the Shouldice clinic, which is held up around the world as a great Canadian healthcare success story. Based on what I know now I wouldnt do it again. Toronto Transit operates a bus from Yonge St at Dundas St East to Steeles Ave East Loop every 30 minutes. They were everywhere in the very pleasant grounds. It's nice and bright! The example of my coworker is different. Since 1945, we have been gathering data from our follow-up examinations. Once youre admitted to the hospital, youll meet other hernia patients. York Region Transit. I really dont want to get into a lot of detail about the complex world of hernia repair here, but the world surgical community has moved on from primary repair with lots of inpatient days and the Shouldice has not. My biggest concern is chronic pain, and of course it will be quite some time before I know if thats going to be an issue. To get the best results from your hernia repair, you should be in the healthiest possible condition for your operation. Thanks for sharing your positive experience Kram. I would like to see much more transparent reporting and rating of all surgeons & hospitals & clinics. And it IS true that mesh design has improved not just materials, lighter, thinner, for instance Titanium coatings to reduce foreign body reactions, so problems 2 or 3 years ago may be referring to old technology. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. Thinking logically, implanting foreign materials in your body is a matter of concern. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate. I have a consultation in 6 months to decide if I am eligible for surgery (I can tell you now I am) at a local hospital. This clinic needs to keep people in hospital to make money. It was named after E.E. People seem to either love it or hate it. 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. I sympathize with you and your husband. I got a colleague to do it, with mesh, and a general anesthetic, as day surgery, in one of our local hospitals. That is simply how medical innovation for medical products in our capitalist society works. Besides, if the Shouldice process were to fail or post-op complications were to become unbearable, would it not be possible to use a mesh then? I just left Shouldice hospital after a hernia repair. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. We encourage you to take advantage of these beneficial patient programs. In our small study no patient had any pain after 6 weeks. He said these were all old issues and not an issue wirh the new good mesh. But it might also just be for efficiency. Many didnt even know their surgeons name. Standard rubberized hospital bed and pillow. Im not sure what you mean by *elective* with regards to hernias except that I imagine they like many surgeries mostly dont need to be done on an emergency basis. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? . Absolutely not. Here is a run down of my thoughts. ConvenientCare Berwick average wait time Save my spot 65 Briar Creek Plaza Berwick, PA 18603 Phone: 570-802-5590 Get Directions Monday - Friday: 9 a.m. - 7:30 p.m. Saturday & Sunday: 8 a.m. - 5:30 p.m. Closed: Most major holidays Thanks for your blog. This wound closure and stapling technique are a significant source of discomfort and pain for all patients. Also, they dont just do simple hernia surgeries on skinny people. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. Our first available appointment is in July of 2023. Laparoscopic and robotic inguinal hernia repair procedures performed by qualified . I did not get a reply what so ever until September 2014 advising me that they can operate on me. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. Following this summers logging and landscape work I will report the status of all three repaired hernias. It is nice to have met your surgeon before any surgical procedure though. Do you have any other suggestions for me? As anybody else, my concern is long term pain or discomfort and recurrence. Maybe if its a simple small hernia, Shouldice is a good choice, but otherwise, too clandestine for healthcare. Very interesting. Another confession, I alsomake money doing hernia repairs, but I dont make nearly as much as the Shouldice does off their patients. The Shouldice then also bills the Ministry of Health for each inpatient day a patient stays overnight. My Aunt diagnosed with Hernia disease recently. 8. Last year, it had a record year and performed nearly 7,500 operations. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. This was a very informative post. 7th battalion royal irish regiment; Please mention Shouldice Hospital when you make your reservations. Do not use mesh, It can or will disintegrate in time like me and a friend too. There are days I literally cannot walk. Posted on September 8, 2011 by Ewen. 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. I know 2 other people who have gone up for repair both of which are now well over 30 years on the repair without issue also.. Take care safe travels. I am not going to comment on specific cases, just generalities here. In fact, the vast majority of hospitals would offer hernia repair. Ive not had thay bad but have had issues from mesh for 9 months. And while I agree with you on many of the double-standard, private taxing points surrounding Shouldice, I disagree that general surgery or mesh related surgery is in any way a better option. Founded in 1945, Shouldice Hospital is the world's leading centre of excellence in abdominal wall hernia repair. But my main problem with this approach as a taxpayer is that this is a huge waste of healthcare dollars. The biggest problem with the Shouldice hospital is you cannot choose your surgeon and like anywhere there are good ones and bad ones. Walk-In Clinic: Mon-Fri 9:30am-3pm Patients may experience long wait times in the walk-in clinic, complete online medical questionnaire instead of coming to clinic: . The recurrence rate with Shouldice techniques was higher than mesh techniques (OR 3.80, 95% CI 1.99 to 7.26) but lower than non-mesh techniques (OR 0.62, 95% CI 0.45 to 0.85). I was wondering what your thoughts were on the actual Desarda technique, not just the website. http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733, Well, when the media shows the issue its because is over represented. In the mean time, it scratches his inner leg that bleeds, he has fallen down the stairs numerous times, gets headaches and pees the bed! Its called cherry picking the easy cases and its exactly what Shouldice does. may be involved. It is virtually impossible to find any real data on Shouldice. A groin which has been operated on for hernia will never feel the same as before the hernia repair, but for the vast majority of patients they will be aware if their repair, or have to take medications for it. I understand that they likely inflate their success rates by choosing ideal patients, but I do not have the technical skills to actually evaluate the efficacy of the proposed mechanism of repair. Several day stats are not the norm at other hospitals, party due to the higher risk of hospital borne infections and partly to be able to service a large group of people with varying needs. We are committed to recruiting and retaining the most talented people and are focussed on creating a workplace where people enjoy the challenge of their career, create and engage in best practices, and are treated with respect. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. 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. Now patients will generally think that more care is better care. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence Thank you for this post. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. Visitors are required to wear a mask when inside the hospital. Toronto Transit. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer . Here are some numbers to call if you would like to book tickets while youre in the Toronto area: These suggestions are provided only as a courtesy to our patients and their guests. Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. And I appreciate that is frustrating when Shouldice info is hard to get but I can tell you follow up & accurate reporting of success rates for the rest of the system is just as unreliable because of useless record keeping. How long ago was your surgery? The cost of more comprehensive programs is covered by most insurance plans. At the mid point of the second week, I had searing, stabbing pain at the surgery site. The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. One year before he developed necrotizing fasciitis, extending from the right knee to the right thoracic wall resulted . I will stop by here at the 6 month point to provide another update. shouldice clinic wait times - stmf.ro He takes the time to explain everything to you, during the consultation, before the surgery, and after the surgery. shouldice clinic wait times - fmbiochemic.in If someone has a hernia surgery at one hospital and then develops a complication they could easily end up at the emergency department of some other hospital having the repair done by a completely different surgeon. The staples are removed (one half at a time) over the two following days. Just frustrating and agree with you on the best I later found out that my friends younger brother had a repair done at the small hospital and has no complications after 8 months with mesh and I went to the one in the area that is considered the best Ive just come to expect the worse I think I have a cloud that just fallows me around :p LOL. Wait Times | Ontario Health 4) Shouldice ONLY carry out this operation, meaning they are presumably highly skilled and also experienced in avoiding nerves during suturing, thus improving chances of post-op pain free life. Talking about media ( from the article you posted here ) My recommendation for anyone 40 and under is to NOT get mesh. My biggest concern with the Shouldice clinic is that you might get a very experienced surgeon, or you might get a surgeon that is quite inexperienced (relative to the rest of the staff). shouldice clinic wait times - ufa1586.com That is not my opinion, it is just a proven over and over medical fact. Hello lesmcc1. In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. There have been many mesh products that have been recalled over the years. Id be curious to see some data comparing patient outcomes for slim patients at Shouldice vs the rest of the system. Which must annoy surgeons who use only mesh). In the US though most general surgeons wont do it the old way or with disolveable meah for fear of reoccurance. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. The risks and benefits of mesh should be discussed with a general surgeon. Those who react badly to mesh most are apparently young, slim females (usually not Inguinal). 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. I higly recommend Shouldice Hospital. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. I have been taking hot baths daily and massaging the area, but it doesnt seem to help. Welcome to Shouldice Hernia Hospital, The Global Leader in Non-Mesh The general surgeon I seen advised 6 weeks. Migration can happen . Can you share any more details about your experiences if you dont mind. The techniques used by the hernia specialists at Shouldice dramatically reduce the risk of recurrent hernias to approximately 1% over a lifetime. So do you feel that in my case atleast, it might be worth giving Shouldice a first shot or is their antiquated technique simply not worth it as the hernia will in all likelihood recur and then mesh would be the only way to go? Long initial waits for assessment, then flows like a manufacturing process. I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. The NHS website now warns of a 10% rate after open mesh here in the UK. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Thirty five is a fair number if done completely by the surgeon in question I would think. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. SHOULDICE HOSPITAL CLINIC DETAILS 7750 Bayview Avenue, Thornhill, Ontario. Sadly neither Shoultice or any surgeon will perform the surgery. Mid 30s in age As with Tyler excellent experience both times with100 percent results. MeSH terms Adolescent Adult Age Factors I have had one for four years and besides some soreness at the end of the day, I am not in constant terrible pain. Any tips? Shouldice Repair of Inguinal Hernia | SpringerLink I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. I had little to no pain 4 days after the surgery, and other than a small scar, my groin has been perfect. Ten days after surgery I taught a two week long course requiring standing for 10-12 hours per day and golfed the day after the course. Patients are required to be within 20 % of their ideal body weight, and are refused surgery at the Shouldice if they do not meet this criteria or lose the weight. I had even specifically asked not for mesh or one that is chemically compatible with tissue and got one that wasnt as it is cheaper for them, hospitals, to use one, which has been shown to cause chronic inflammatory response and pain. As for tension free vs not, as I said in my blog, standard of care for most institutions is tension free (ie using mesh). Shouldice technique versus other open techniques for inguinal hernia

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