My husband went in, doctor said lose weight and i will do it. Chronic groin pain after hernia repair is a concern, no question. Is this because Shouldice thinks this is good care? The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. Too risky. Having said that, if you have your hernia repaired without mesh (by Shouldice or anyone else), and it recurs, you can have another surgery at that point. I wish the government would impose laws about refusing patients surgeries and i wish Shoultice was audited! I find this mind boggling- this approach was abandoned in the rest of medicine decades ago. Having been an aircraft accident investigator I provide this comparison/critique in a strictly evidentiary way based on my experiences and observations from having had both procedures. Hi, I am the diabetic obese patient with an abdominal hernia. The typical Shouldice patient only experience s 5 days of required recovery time after their surgery, while hernia patients from other institutions typically experience 10 days of recovery time. Now patients will generally think that more care is better care. I think 3 or 4 tomorrow in fact. Yes, but it will fade with time and is overly visible except when naked. Shouldice prepares you for your hernia operation and recovery. I did not get a reply what so ever until September 2014 advising me that they can operate on me. Procedure 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. There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. It could be scar tissue or it could be the actual implant rubbing on the nerve. We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. I do believe mesh allows me as a surgeon to do a tension free repair which causes less pain, both acute and chronic, post op. "In 2018, I found Dr. Samer Sbayi online. Are hernias covered by OHIP? No referral is required. Ive tried this though for me personally, it made it worse for me so they are leaning towards it rubbing on my nerves. One might wonder why you could not find a surgeon in New York willing to do a repair without mesh- are all of these surgeons incompetent, immoral, or both? I am now currently here in August 2016. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence I think it depends on the surgeon involved and what your expectations are around the surgery. Also, I doubt if any teaching staff in state/public schools has many good things to say about private education, the reasons only too obvious. They say Im an unusual case, but 2 years after having an inguinal hernia repaired at Shouldice I am still suffering from nerves entangled in scar tissue. He worked at Shouldice for about a year and did several hundred Shouldice repairs. The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. Best of luck Dean. The first time I was sick with a high white blood cell count and they send me back home this was 5 years ago, 3 years ago I tried again and this time I had diabetes and they told me to go back home on the day of the surgery because I was coughing too much, the reason I was coughing was because of Ramipril a HBP medication. How are you doing now? A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. Found a surgeon in Sarasota, Florida who does non-mesh hernia repairs (Shouldice). The Shouldice then also bills the Ministry of Health for each inpatient day a patient stays overnight. Of course, that is difficult work which the shouldice is not interested in. The Bassini repair, named after Dr. Edoardo Bassini who developed it in the 1880s, was the first efficient repair for inguinal hernia. The hypochondriac insisting on stronger pain meds and special priveleges to the I dont need pain meds tough guy. There is nothing spectacular about this facility. Thank you for your knowledge and insights re hernia repairs. But to watch how efficient and careful the surgeon was, isolating nerves to make sure they werent damaged, reconstructing the inguinal ring, and the detailed suturing technique, I am very satisfied with the result. I have only good things to say about the Shouldice! At the mid point of the second week, I had searing, stabbing pain at the surgery site. Shouldice is a business and I understand that like any business its primary goal is to make money. Thanks for your comments. By the time my son was 10 and we moved to Peterborough his hernia was the size of a pineapple infact it looked like he had a bag in his pants! Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. I will stop by here at the 6 month point to provide another update. Ive had this hernia since I gave birth to my child 9 years ago and my life has been very bad since. Sharing the experience with a bunch of other patients was a big plus in my opinion. Kyle, 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. All three were done by general surgeons, and I can honestly say I would have been better off not getting any surgeries from the beginning. Ill see how it continues and report again in a month or so. You share good times with the people you meet there. Dr. Yunis and staff accommodated my physical disability, handicap. To get the best results from your hernia repair, you should be in the healthiest possible condition for your operation. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. 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. 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: . Mesh is known to have a potential side effect of chronic, possibly serious pain, and potential difficult mesh removal later which leaves the person changed for the worse. But it might also just be for efficiency. My husband got discouraged and gained even more weight. I wonder if a nerve block might be the answer. There is a specialty clinic in Toronto, Canada called Shouldice Hospital. I am also not a fan of the idea of Centres of Excellence. The idea that high volumes of doing one thing only makes you better at it. But ask yourselves this: is it really that important a year later if you slept in an uncomfortable bed for a few days if you have no chronic pain or ever have to worry about developing it? I play sports 3 days a week, I run competitively, etc, and virtually no pain. Very interesting and enlightening article for a soon-to-be operated-on groin-hernia sufferer like me. The surgeon recommended TEP and from research that seemed to be the most likely not to cause chronic pain and based on the surgeons bio and reviews he seemed to specialize in laparoscopic. In order to lose the proper amount hed need to eat saw dust and exercise. An article I just read after using your suggested search term called Inguinal Hernias: A Current Review of an Old Problem mentions recurrence rate at a specialized center (Shouldice hospital) being 0.7% to 1.7%, but Shouldice technique done at a general hospital with a general surgeon was as high as 15%. C. 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. Visitors are required to wear a mask when inside the hospital. Thanks Kram. Change). The grounds were beautiful and interior spaces quite nice. 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. Prior to your visit, you are encouraged to complete and submit aMedical Questionnaire on my.shouldice.com. He has no idea why or how it happened but didnt feel he really cared. Two questions: (1) do you think a surgeon who did 30 laparoscopies in residency and 5 shortly after in private practice is sufficiently experienced to do bilateral inguinal hernia repair with the TEP method? I agree that the beds are uncomfortable and some of their routine seems a bit military and dated, but I was very confident in their abilities and a few days of discomfort at a hospital is nothing compared to the long term results. 3 weeks after surgery, I was starting to return to running, but still avoided lifting anything heavy. TORONTO Shouldice Clinic Hernia Repair - August 2020 2,289 views Oct 22, 2020 27 Dislike Share Save Herve Del Norte 542 subscribers I provide a summary of my recent hernia repair surgery at the. and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. Shouldice Hospital is a great place to work. It you want a manicure, a pedicure, an espresso in the pre op room and general pampering go to a Beverly Hills clinic; This place is all about a lasting repair at a reasonable price (my bill was much less than the initial quote) with minimal fuss, and, critically, NO MESH. So Im now working with a new surgeon in hopes that they maybe able to help. Its one of the great things about my job. Is my scar larger than it could have been with a mesh repair? 6) People continually come from all over the world to have their hernias repaired at Shouldice. He said these were all old issues and not an issue wirh the new good mesh. The Shouldice clinic was purchased as an estate in the early 50's, so it definitely has that old, historic feel to it. I would have to see why, based on outcomes & diversity of treatments required, doctors/surgeons should have common requirements for their practice. They do this to improve success rates (which of course patients want too) to reduce fat in the tissues which, I imagine you know but others might not, is a factor with or without mesh. Personally, put in a holding pattern until surgery in the afternoon. I have a hernia (incisional/abdominal) that needs to be repaired, with several other smaller hernias, however, my visit to the Shouldice sent me searching for the right General Surgeon instead. Shouldice, like you said, does not do that kind of thing. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. Based on what I know now I wouldnt do it again. by | Jun 30, 2022 | zip code for princes town, trinidad | smbc leveraged finance | Jun 30, 2022 | zip code for princes town, trinidad | smbc leveraged finance I cannot recall a patient ever having been in hospital for 5 days after elective hernia repair. I have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. Thank you for this post. My father needs a hernia operation. Hernias do just get larger, and there is also the issue of not being able to travel if you dont get it fixed (pre-exisiting condition). This is an excellent blog. Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. Shouldice Hospital was established in 1945 by Dr. Edward Earle Shouldice (1890-1965), inventor of the Shouldice repair. This clinic needs to keep people in hospital to make money. The buddy system helps to reduce stress and anxiety and prepares you for a confident recovery. 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. There is a sunlit caf for reading and relaxation and a cheerful common room, where patients often gather for a friendly game of cards. I think is a matter of profit from this industry. I also have not had good outcomes with the medical community. From the group I saw (30 of us), virtually everyone was doing much better after the surgery. The recurrence rate for incisional hernia repair without mesh would approach 100 % for a large incisional hernia, so I (and most other general surgeons) would likely not recommend repair without the use of mesh. The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. Slight modifications were made in each procedure but the procedures were similar . (LogOut/ The other day I split a bush cord of firewood and my shoulder was sore but not my groin. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer to Highway 407. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers. NDP Leader Jack Layton acknowledged yesterday he visited a private Ontario medical clinic to treat a hernia in the mid-1990s, but dismissed suggestions it undercut his credibility as a public . Sounds like you are doing a great job informing yourself about your options and the risks which is great to hear. Improving patient satisfaction with wait times Nursing. Now the Shouldice clinic does do something I agree with in part. Affiliation 1 Anna Bradshaw is an FNP student at . You are correct though, there are not good studies comparing the two methods. 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. 1. shouldice offers reliable hernia repairs, with few relapses. http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/ 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. (LogOut/ At Tar, Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. Different policies will exist. Or that you are cynically making a play for a vast damages pay out. In the Shouldice clinic, the average time off work after repair is 8 days, and 4 weeks is the maximum time patients are authorized to return to heavy labor. Thanks for getting back to me. I imagine quite a few would turn tail and run, but listen: I was NEVER in pain and it only lasted 5 days and it had to be done. Their holistic approach on the brochure makes alot of sense. It went well. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. 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? Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. When you come to Shouldice, you can expect to have a positive and pleasant experience. 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. Presumeably some patients have a higher sensitivity to foreign body implantation (testing for that must be possible, but rarely spoken of, although different materials for the mesh are being developed) and inept insertion technique (inexperience, tiredness, simple error?) Yes, Im not overweight, which helps, but others that had lost weight for their surgery I kept in touch with had great things to say about their experience as well. Posted on September 8, 2011 by Ewen. 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. The techniques used by the hernia specialists at Shouldice dramatically reduce the risk of recurrent hernias to approximately 1% over a lifetime. If this is an arguement that many surgeons feel should be addressed then of course I would be open to hearing the arguments for it but I believe our health care system should have a structure thats based on requirements necessary for delivering good outcomes for patients at the best cost.