The Shouldice will not be handing over their data anytime soon, unless forced to, I can say that with confidence. I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. Realistically, I am 50, 57 and 163 pounds, am I really going to lose 30 pounds and keep it off for the rest of my life? It is almost impossible for a hernia to recur through a piece of mesh. in sum, shouldiced uses high value, low cost strategy. There are some awful stories out there. No referral is required. My father needs a hernia operation. Create a free website or blog at WordPress.com. Now the Shouldice clinic does do something I agree with in part. About a week later the pain had completely subsided and I had no further significant pain. That is tough. Very interesting. security guard 12 hour shifts aubrey pearsons oaks husband shouldice clinic wait times. 2021 Apr 1;51(4):67-69. doi: 10.1097/01.NURSE.0000736968.01359.e0. I doubt it- they are simply following standard of care which they are required to do by their licensing bodies. 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. Also, Shouldice website and the doctor I seen reports their procedure is tension-free however from what I read on different techniques the Shouldice repair is tension method?? 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. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. This is why they went to Shouldice in the first place, in the Toronto area it has a kind of mythical acclaim. Standard Shouldice methodology admitted day before (process long, repetitive, old school handdraulic vice electronic). The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. I have only good things to say about the Shouldice! Shouldice also offers a variety of services to help you prepare for your hernia operation and improve your recovery. (sorry if i made any writing mistakes, English is not my first language). Look for nih data. I do everything I want without restricting myself. Five days after surgery Im still in quite a bit of pain, and Im finding Tylenol to still be a must. The patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. If I had an unhappy patient who did not want to have surgery with me again, I would refer them on for a second opinion. I have been there two times for both right and left side repairs. While my knowledge of Shouldice is not direct, it is close to home, and entirely contrary to what you have said. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate its a random nonsense. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. The cost of more comprehensive programs is covered by most insurance plans. Thank you for putting so much valuable information over here. Your stay at Shouldice includes a number of patient services to enhance your care and comfort: Weve followed up with our patients for many decades and time has proven that the patient-focused, Shouldice approach is the key to a complete and successful recovery. Personally, I have a walnut sized umbilical hernia and am within the upper bounds of the ideal physical category. I honestly cannot recall the last time I admitted a patient the night before surgery, except when I was a clinical clerk, and that is going back a long time now. Long initial waits for assessment, then flows like a manufacturing process. Pain clinics are full of patients who have had open mesh repairs. 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. Lets start with the Pros 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. Overall, I am pleased with both the experience and the outcome. Personally, put in a holding pattern until surgery in the afternoon. Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. From the research Ive done, nearly 70 hours of it; Shouldice offers distinct advantages over mesh repair in the following ways: 1) No concern from implant of foreign object; ie fear of allergic reaction to mesh, worry of mesh erosion over the decades and nerve damage caused by mesh. We take meshes out for pain on a weekly basis. Poor nights sleep (roommate having pain, snoring, up through the night for pain meds, temperature check by nurse at some point, etc). Physicians cherry pick their patients. Here you will find current wait times for Niagara Health's Emergency Departments and Urgent Care Centres. shouldice clinic wait times. They do the surgery anyways. I have never worked at, or been involved with the Shouldice clinic, so this blog comes from my own professional opinion as a general surgeon/hernia fixerand defender of evidence based medicine and socialized healthcare, discussions with many patients who have gone or are considering going to the Shouldice clinic, going to a talk some years back given by a surgeon who worked there, and the Shouldice clinic website. Hello Justin. Your hernia will need to be fixed, no question. Not speed of hospital discharge. Best. Thanks for your comments. I wish all the best to you! Shouldice - The best no mesh hernia repair for inguinal hernia. I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. Others who have had surgery at their local small hospital and everythings good. I can NOT for the life of me understand the following: The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. Not to mention youll be competitive with Shouldice. The trouble is he can barely walk with this baby between his legs. The Shouldice clinic admits patients the day BEFORE their surgery. However, these hotels have NOT been inspected by the Shouldice Hospital staff. Also, I would check w your insurance company before travelling. I was suprised by your posting. I am so glad to read this. The literature on incisional hernias is where the use of mesh was first tested. The "first" reduction in Tq is much greater!) Here is a run down of my thoughts. Sorry your husband had such a tough time with his hernia, hope he is doing well now. EMR should allow for reporting of all surgical complications and feedback to the surgeons on their complications, including how many of their hernias recur. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. As a surgeon with intimate knowledge of hernia repair, does the actual technique have a solid, anatomical basis and biological plausibility? You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. I hear that the wait time is up to a few years for the surgery itself. 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). Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. Just another casualty to this epidemic caused by mesh. or skilled? Shouldice I learned the name even before it had become personally relevant and noted it. My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. 6) People continually come from all over the world to have their hernias repaired at Shouldice. my surgeon said it was mostly a bunch of people complaining looking for money. At this stage I cannot guage the quality or durability of the underlying repair. The limited walk-in spaces are available on a first-come, first-served basis. I will miss the black squirrels. I agree there is an absence of definitive evidence one way or the other, and that some surgeons seem to possess Olympian detachment when confronted with inconvenient statistical irregularity. 2015 surgeries (inguinal, umbilical) performed at local Ottawa hospital by general surgeon, with some specialization in hernia repair. No kidding Shouldice will have better results than me when they do not have to operate on an obese diabetic at midnight who is dying from a piece of blocked gangrenous bowel in his hernia which they wouldnt fix electively because he was too heavy! Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). 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. Our first available appointment is in July of 2023. Some of the patients will already have been through the operation and will be happy to offer reassurance and support. Your post here changed my life, my plans, in a good very good way. 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. The risks and benefits of mesh should be discussed with a general surgeon. You dont know till you try it if it is going to help or not. 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?) Mesh CAN be a nightmare if not inserted properly, and maybe I would be able to get away with not using in a very slim patient, but I consent patients thoroughly to all the risk factors. Would you go to a dentist or have any other surgicla procedure done without knowing a thing about the surgeon? Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. It's nice and bright! I have a rather large incisional hernia and am considering a trip to Shouldice. Shouldice would take me again, the surgeon Im scheduled with said ideal patient, all these things mean is low risk for the actual surgery, doesnt mean itll work or not give you issues down the road. Straight truth from the USA here folks. Ive not had thay bad but have had issues from mesh for 9 months. Indeed, expansion of Shouldice's facilties seems a far better alternative than asking patients to wait. All private fee paying schools get to choose whom they teach, that way they get the best students and of course the best exam results. Thinking logically, implanting foreign materials in your body is a matter of concern. I briefly looked at the website, and I would have the same concerns as with the Shouldice, namely that recurrence rates for hernia repairs without mesh would be unacceptably high unless in a highly selected (skinny) population in North America. Go for the weight loss and then go for the surgery!! There were no significant differences in chronic pain, complications and post-operative stay. WOW. From studies (which are few and far between), they both apparently have the same amount of chronic pain sufferers. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. 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. Shouldice patients frequen6tly return to work in a few days; the average total time off is eight days. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. 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. 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. If you are unable to submit this document in advance, you will be asked to complete it upon arrival at the clinic. Mid 30s in age As with Tyler excellent experience both times with100 percent results. (LogOut/ I higly recommend Shouldice Hospital. I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. I have heard of one fellow returning to the gym and heavy squats within 2 months of his op which DOES seem to be tempting fate, so some patients may not be helping themselves. Polypropylene can cause many issues later on down the road research is finding and for those of us with mesh it could be a time bomb waiting to go off. It is important that you are not carrying excess weight around your abdomen. It helped for about 10 days and then stopped helping. | 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. It has been repairing hernias for decades. Thanks Kram. First scheduled patients moved to pre-surgery prep. Do your homework and make an informed decisiongood luck. Of course, that is difficult work which the shouldice is not interested in. However, it is also undeniable that the chance of a hernia recurring over time is reduced when mesh is utilized appropriately and on the right patient. I went back to work in less than 48 hours and I am very happy with my scar. No referral is required. Hi. 8. Want fast and effectively perfect hernia repair? 80%| 10. 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. Im left asking the question do I fix it now or after pregnancy? Which method is the best option considering I want to get pregnant? Do the same for a reduction in u from 0.80 to 0.70. I would like to request if you please could comment on about the Desarda technique. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. In speaking with their surgeons, they are looking to have their technique more widely adopted and have recently had visiting doctors from the UK and are making efforts to have the technique more widely known. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer . A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Do the surgery again big deal! The surgeon who performed my surgery has successfully completed over 10,000 prior repairs. 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. Different policies will exist. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. I am now currently here in August 2016. Unlike most hospitals, delicious meals are prepared fresh in our dining room daily, providing the healthy nutrition you need to promote healing. C. 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. Update been 8 months out and little to no change in the pain and other complications. Did I have any discomfort during recovery? The Republican lawmaker is scheduled t. 905-695-4967 * smah This is so helpful! Many of these services are provided free to our patients. Same nurse. [1] The hospital specializes in hernia care. To see how we do a Modified Shouldice visit http://www.herniaoperation.co.uk I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. 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. We know that asking patients about their satisfaction with their care has nothing to do with the quality of care provided. Ive had friends who had surgery with the best and have come out messed up. Thirty five is a fair number if done completely by the surgeon in question I would think. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. Impossible to lose the weight. Chronic groin pain after hernia repair is a concern, no question. Im about 2hrs from Shouldice. A good analogy is to compare mesh implants to the education in a public school and then, Shouldice, the equivalent of a private, fee paying school. and a less wait time surgery would be quite worth it. Creepiest Pre Op room Ever. I came up to Shouldice from the States not because of concern over use of mesh but because of concern over general anesthesia which I was told I would have in the States. 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. . 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. To do less would be to jeopardize the positive end result. I asked if he felt I would need mesh and he said he didnt know (fair enough) however, I then asked what type of mesh is used and he said ,mesh. 4. shouldice offers a 4 day vacation. Large ventral/incisional hernia repair or complex abdominal wall reconstruction- different story. Shouldice Hospital is a bit of curious place. Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) J. Surg. 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. At Tar, Im not a medical professional of any sort, but Im capable at measuring time the first two (father and neighbour), went to Shouldice and returned within 48 hours and their usual routines somewhat ecstatic about the result, and with no need to revisit the surgeries since. Whether that fear of mesh is warranted, I do not know. No my Dr was not willing to help much other than referring me to pain management which doesnt help solve the underlying issue and seemed baffled that these issues were continuing. Toronto Transit operates a bus from Yonge St at Dundas St East to Steeles Ave East Loop every 30 minutes. Visitors will not be permitted in the patient rooms. 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. 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. I am handicapped and must wear an orthosis when horizontal (supine) for a cervical spine condition which I have had debilitating symptoms for twenty-two years. He did get a cyst in his rear about 2 1/2 years ago, the surgeon offered to take a look. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago.
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