Authors Anna Bradshaw 1 , Sarah Raphaelson. Other operators. The surgeon indicated that when they went in to operate they discovered I actually had two hernias (one direct and one indirect) and he repaired both. I absolutely follow up all my hernia patients. Or that you are cynically making a play for a vast damages pay out. 5 weeks after surgery, my scar looks pretty much healed and I expect it will fade with time. The sheet says this ridge will last for several months (oh joy). 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. The techniques used by the hernia specialists at Shouldice dramatically reduce the risk of recurrent hernias to approximately 1% over a lifetime. Standard Shouldice methodology admitted day before (process long, repetitive, old school handdraulic vice electronic). I love doing a variety of different procedures in patients of all ages, sexes, shapes and sizes. From the group I saw (30 of us), virtually everyone was doing much better after the surgery. Though a significantly smaller hernia than the 2015 inguinal hernia the incision was two inches longer (6) and the incision was closed by puckering/pinching the skin on either side by 1/4-5/16 and secured with stainless steel staples, i.e. One year before he developed necrotizing fasciitis, extending from the right knee to the right thoracic wall resulted . I had an inguinal hernia repair at Shouldice 4 days ago. 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. ( I know I already said that but they were really that bad). Certainly your hernia is symptomatic and should be repaired. 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. If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. 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. I have recently had a consult at Shouldice and had some concerns. I do have recurrences, about 1 per year but I find since I have warned the patients about this they are usually pretty accepting of it and happy to come back to me for another repair. It is a small hospital dedicated only to hernia repair. Many of these services are provided free to our patients. Unfortunately it did not adequately control for risk factors known to be associated with recurrence, including obesity. This was a very informative post. First scheduled patients moved to pre-surgery prep. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. 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 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 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. WTF was that?. 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. I dont know what the exact policy is on inpatient stay at Shouldice, the website said at least one day pre op, and an unspecified number post op. A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. 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. The Bassini repair, named after Dr. Edoardo Bassini who developed it in the 1880s, was the first efficient repair for inguinal hernia. I know Shouldice will also cost me more than getting the mesh procedure done in-network here in the US but I feel that at least Ill be giving myself a chance of not exposing myself to a permanently inserted foregin object. Posted on September 8, 2011 by Ewen. I may get the same answers but at least Ive tried. It helped for about 10 days and then stopped helping. 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. I have had a right side inguinal hernia for 1.5 yrs and am scheduled for mesh repair locally end of May (bumped from mid-May). It was then allowed special licence by the Ministry of Health to continue operating. RobthinksIm going to Shouldice in 2 weeks. Complications after a mesh surgery can drive the cost of a simple hernia repair into the hundreds of thousands of dollars. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. How are you doing now? Naturally Id like to see the same for the hospital system. We have a big number here, dont you think? Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. I have been informed by most of the local hospitals that there is nothing they can do. 7750 Bayview Avenue, Thornhill, Ontario. 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. 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. (LogOut/ The amount of money being drained away by this clinic from the public system is opportunity cost, not just for hernia repairs, but all healthcare spending. 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. 6) People continually come from all over the world to have their hernias repaired at Shouldice. By the way, my sister is an RN at HHS who recommended Shouldice from what a Doc recommended to her. 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. 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. 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?) Mr Dedes- there are many fine surgeons and hospitals in the GTA area which fix hernias. Hernia repairs can be done without a general anesthetic at other locations as well- I routinely do mine without a GA. Shouldice performs, on average, 150 operations per week, with patients generally staying at the hospital for three days. Standard and mandatory wake up is 0530 for all. In thinking Doctors are same as a lot of other industries. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. 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). Shouldice Hospital in Canada is widely known for one thing-hernia repair! 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. The food was good. It doesnt matter what method you have these days the recurrence rates are all about the same,low. Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. Do your homework and make an informed decisiongood luck. Fully sedated for duration of procedure. 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. (LogOut/ Many of the patients in my cohort were from the US, one had driven over 2000 km to get the surgery. This makes anyones numbers on hernia repair difficult to interpret, but the Shouldices number in particular should be viewed with a grain of salt. View Map. They can walk in, and be called in to be seen by the doctor without having to wait for long. More and more often, hes having flare ups where the blood supply to his groin is being blocked. Kyle, That is frustrating for you. 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. 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. My Aunt diagnosed with Hernia disease recently. There have been many mesh products that have been recalled over the years. 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. 2016 Feb;59(1): 19-25. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. My doctor wants me to lose 50 lbs and ive tried but I cant and I have never found diets to be successful. I have been taking hot baths daily and massaging the area, but it doesnt seem to help. Integrate PMS with your healthcare information system. Hopefully you find an answer. 14 Weeks with mesh. Same in the US. 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). I am running 20-30km/week and have returned to normal activity. The average North American is gaining 1-2 lbs per year, and obesity is a clear risk factor in hernia recurrence. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Toronto is known as a wonderful getaway destination for those who enjoy world-class theatrical productions or professional sports. I have been there two times for both right and left side repairs. Shouldice specializes in this unique approach to hernia repair. Suppose you had a recurrence after a tissue repair. He takes the time to explain everything to you, during the consultation, before the surgery, and after the surgery. I was extremely excited to not have to wait a long time to get in for an operation as the hernia was making it almost impossible to drive. I agree with John. No pain at all and I never took any of the prescribed pain meds. This involves making an incision . I live in Montreal, soon to be living in Ontario. Doctors and nurses very knowlegdeable, and covered by OHIP. Sounds like you are doing a great job informing yourself about your options and the risks which is great to hear. Reading your comments put some things into perspective for me. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. My hernia is very small and only appears after I have been working-out or stand for a long period of time however I have a constant dull pain in the groin area/lower abdomen area (heaviness feeling) My fianc and I also love to travel and travel insurance seems to be an issue. Best. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. Please call 905-695-4911 to book a time. Stop smoking for a least 2 weeks before your surgery. Hernia repairs at the Shouldice are done with local anesthetic, no mesh insertion, and with a long stay in their hospital to recover. Just curious. 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. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. But it might also just be for efficiency.
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