Shouldice I learned the name even before it had become personally relevant and noted it. Creepiest Pre Op room Ever. 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. Would you please share with me what kind of hernia you had. I hike a lot, mtn bike, lift >100# items, etc. Shouldice Hospital is a great place to work. The risks and benefits of mesh should be discussed with a general surgeon. But sometimes recurrences do happen. 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. Now some of the Shouldice clinic patients come from out of country and should be paying forall of their carebut what this percentage is, I do not know. If the patient already has chronic pain after the first repair, the recurrence is not likely the cause. If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. I did not get a reply what so ever until September 2014 advising me that they can operate on me. . Procedure The staples are removed (one half at a time) over the two following days. Quick update from my 2017 post on my inguinal hernia repair with mesh. I had my first one done at Shouldice (10 yrs ago) and no issues with it unless I do a lot of hiking or lifting and then maybe a bit of soreness in the left groin. Is it because they make lots of money off the patients and the taxpayers? This expedited recovery time is due to the level of active physical rehabilitation that Shouldice Hospital expects from their patients. 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: Personally, I have a walnut sized umbilical hernia and am within the upper bounds of the ideal physical category. A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. I wish all the best to you! Hello lesmcc1. The hypochondriac insisting on stronger pain meds and special priveleges to the I dont need pain meds tough guy. He did get a cyst in his rear about 2 1/2 years ago, the surgeon offered to take a look. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? Would you go to a dentist or have any other surgicla procedure done without knowing a thing about the surgeon? Overall, I am pleased with both the experience and the outcome. There have been many mesh products that have been recalled over the years. 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. My hernias were small (umbilical and femoral) and related to pregnancies and not a previous incision. Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. Tickets cost $4 and the journey takes 38 min. The question of the morality of rich families being able to afford private schools, hence their children receiving a higher quality of education is not likely to lay heavily on the mind of any concerned, least of all the children. Maybe a freedom of information request needs to be filed so accurate comparisons can be made. Secondly, I have not heard of desarda method. A skim off of the healthy and the wealthy to the private system, leaving the public system to deal with the emergency, unhealthy, and poorer patients. I also saw the ambulance chasing lawyer ads in the US regarding mesh failures. Is your problem scar tissue? Well that was 2 years ago, he did lose 45 lbs and the doctor still refused to do the operation siting that he had no place to put what was in his testicle area! http://Www.desarda.com. I have had this happen once. The huge incision ripped internally and of course I wanted to choose the BE ST surgery clinic to repair it so it would not happen again. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. So that is a great question. Certainly everybody who is having a hernia repaired should carefully discuss the pros and cons of using mesh- its a very individual decision and patients deserve to be well informed. Somehow he would be entitled to weeks of paid leave with the hospital option due to healing times for their style of treatment whereas with the Shouldice option hed be back at work in a few days. My experience was extremely positive and I would not hesitate to return there. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. 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. Shouldice has arrived at its point of success by placing an emphasis on this high level of quality and effective care. I have only good things to say about the Shouldice! Now the Shouldice clinic does do something I agree with in part. SHOULDICE HOSPITAL CLINIC DETAILS 7750 Bayview Avenue, Thornhill, Ontario. I also have not had good outcomes with the medical community. Thanks for such a great blog, very helpful and interesting. Shouldice refused to accommodate my disability. Shouldice is the gold standard of no-mesh hernia repair. So five days in hospital must be better than no days in hospital, right? Ive had friends who had surgery with the best and have come out messed up. I would imagine a lot of people wouldnt go back to someone who wasnt successful with their surgery the first time unless it was very minor surgery. Shouldice, like you said, does not do that kind of thing. Shouldice Hospital is not responsible for these services. I would like to request if you please could comment on about the Desarda technique. I had my surgery done at Soldice 5 days ago. Which must annoy surgeons who use only mesh). 1/2-5/8 of flesh mounded above the underlying muscular tissue fix. Thank you for this post. And yes, Shouldice cherrypicks their cases, perhaps because they can. I honestly cannot think of anything much to criticise beyond, just possibly, the tendency for some staff to be satisfied with your progress in their own minds, but could convey this rather better to the patient my equipment turned black and trebled in size so I had to get a specific answer to my question: is this normal? I cannot recall a patient ever having been in hospital for 5 days after elective hernia repair. 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. 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. Ive tried to get surgery twice. During your examination, your surgeon may recommend that you lose weight before your hernia repair. Can you share any more details about your experiences if you dont mind. 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 . Change). I tell women who may get pregnant after a repair that there is a higher risk of recurrence of the hernia because of the stretching of the abdominal wall with pregnancy. 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%. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. Shouldice is licensed by the Ontario Ministry of Health, which covers the entire cost to Ontario residents of hernia operations there under OHIP, the. 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. Also, I find there is a lack of information on hernias in fertile women and how to treat. At this point I am out $980.00, I am more sore than I was at the same time following two mesh repairs, the in-hospital conditions/regimen were not as conducive to recovery as being at home. The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. The reason my wife and I offer the Shouldice op in Kent UkK is the very high incidence of chronic pain after open mesh repair. They do the surgery anyways. Ive had this hernia since I gave birth to my child 9 years ago and my life has been very bad since. In the US though most general surgeons wont do it the old way or with disolveable meah for fear of reoccurance. I dont want to come off too confrontational but I am going to be blunt. We go to physicians expecting a solution to a problem, expecting, sometimes, an unreasonable outcome, expecting physicians to be more than human, expecting them to always do the right thing. He went to a top medical school and top intern in residency program. As anybody else, my concern is long term pain or discomfort and recurrence. It helped for about 10 days and then stopped helping. minutes at a time, several times a day during the first few days after surgery If you are unable to have a bowel movement following surgery, a mild laxative such as Milk of . I did read the article. (thats gotta mean something!). You are right, there is not a lot of good information for women in your situation. Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). He was not too much over weight at that time. 5 weeks after surgery, my scar looks pretty much healed and I expect it will fade with time. I will continue to recommend the Shouldice and feel it was the right choice for me. Relaxing views and an estate-like setting are an important part of the total Shouldice experience and help to stimulate the bodys own natural abilities to heal. It was then allowed special licence by the Ministry of Health to continue operating. They stick to what they know but when they need to be different for the better of their patient they dont know how to and rather than referring their patient to one that would be better for the patient. In the USA most Drs wont even do a simple hernia repair without mesh even if youre ideal for a non mesh surgery. They will also arrange regular phone meetings to offer advice and support so that you can commit to a healthier lifestyle and prepare your body for a successful hernia repair. To increase the text size, press and hold down the command key on a Mac or the windows key on PC, then press the plus (+) key. I would not be likely to offer a second hernia repair (with or without mesh) to a patient with risk factors for recurrence (substantially overweight, smoking etc) unless the operation was an emergency. The place isrun a bit like a hernia boot camp, which I really had no issue with. 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. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? Surgeons need to do emergency work or perforated appendicitis, gangrenous gallbladders, and blocked bowels (sometimes stuck in hernias) would not be dealt with, and patients would die. IMO unless someone events a hypoallergenic mesh that is proven to be inert in human flesh for 40+ years that allows nerves to grow around it without hindrance then I think hernia mesh repair days are numbered. I have had direct experience with Shouldice where my husband had a large abdominal hernia repair and they did use mesh and the head surgeon gave a long history of their use of mesh at one of our appoinments. "In 2018, I found Dr. Samer Sbayi online. 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. 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. However there is more to it. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. They actually recommended that my other hernia not get operated on as it was too small to be fixed (which was really impressive that they gave the correct advice, watch and wait). On call is hard but necessary work and I , as a Royal College trained surgeon, would not be allowed elective operating time anywhere if I did not offer on call services.

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