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. Improving patient satisfaction with wait times Nursing. 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. If their procedure was outdated/inappropriate in anyway, then why are they still in business helping 7000 healthy, wealthy and skinny people (morale issue again) per year have pain free and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? 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? 80%| 10. 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. 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 had two hernias repaired in November last year. 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 not going to comment on specific cases, just generalities here. 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. 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. He takes the time to explain everything to you, during the consultation, before the surgery, and after the surgery. A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. Bus operators. The sheet says this ridge will last for several months (oh joy). And yes, Shouldice cherrypicks their cases, perhaps because they can. The 3 scars have pretty much healed up. Quick update from my 2017 post on my inguinal hernia repair with mesh. A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. It was then allowed special licence by the Ministry of Health to continue operating. 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. If hernia repair is right for you, well set a hospital admission date that is convenient for your schedule. They do the surgery anyways. Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. Personally, put in a holding pattern until surgery in the afternoon. You, and others like you, in other words. I have constant pain of some kind from stabbing to just dull along with foreign body sensation. NUMBER OF WALK-IN APPOINTMENTS AVAILABLE FOR THE NEXT TWO WEEKS ARE: Monday, March 6th - 0 Monday, March 13th - 12, Tuesday, March 7th - 12 Tuesday, March 14th - 12, Wednesday, March 8th - 24 Wednesday, March 15th - 12, Thursday, March 9th - 40 Thursday, March 16th - 36, Friday, March 10th - 18 Friday, March 17th - 24, 7750 Bayview Avenue,Thornhill, Ontario,Canada L3T 4A3View Map, Tel: 905-889-1125 Fax: 905-889-4216 Canada: 1-800-291-7750 U.S./International: 1-855-328-3423 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. We encourage you to take advantage of these beneficial patient programs. 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. Hernia repairs can be done without a general anesthetic at other locations as well- I routinely do mine without a GA. Princess of Wales Theatre Royal Alexandra Theatre CAA Ed Mirvish TheatreCAA Theatre, 7750 Bayview Avenue,Thornhill, Ontario,Canada L3T 4A3View Map, Tel: 905-889-1125 Fax: 905-889-4216 Canada: 1-800-291-7750 U.S./International: 1-855-328-3423 postoffice@shouldice.com, Shouldice Hospital is committed to excellence in serving all patients including people with disabilities.Learn More. Be glad you have the option of this procedure. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? I seem to be a good candidate for pure tissue. I would also, I hope, be getting angry calls from our hospitals administrators asking what the hell I was doing keeping patients in hospital for so long after such a simple procedure. In fact, one would expect Shouldice to have better outcomes as they select patients who are at lower risk for recurrence before the surgery. Most of us felt it was an efficient operation and we could see why they do things that way it was logical. I had researched the different techniques and decided I would rather have small surface area non-magnetic stainless steel sutures vs a plastic mesh. Marcello..whats your point and why are you here? My father needs a hernia operation. We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. They do not have to do emergency general surgery, ever, how convienient. Shouldice is a business and I understand that like any business its primary goal is to make money. So one last confession. Did I have any discomfort during recovery? Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. He also reiterated that he also only does mesh unless of some other medical reason. 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. Discomfort for 3-4 days but quite tolerable. He has no idea why or how it happened but didnt feel he really cared. This involves making an incision . They are not sure what the issue for me is caused by. If you would like diet counselling to help prepare for your surgery, we have a registered dietitian on staff to offer the help and support you need. That is why we offer a diet counselling service to all of our patients. 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. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. I wish all the best to you! The doctor in Quebec told him to lose 30lbs and he did but while waiting his hernia became even larger. At Shouldice, we recognize many of our patients have family and friends with them. Its one of the great things about my job. Acas; Conducere; Evenimente; Comunicate; Presa; Activiti; ark mating interval multiplier glastonbury vip tickets 2020 I have 5 years on one and one year on the latest already Also agree out of the 30 or so both times there were next to no pain or issues just days later.. I think is a matter of profit from this industry. Shouldice - The best no mesh hernia repair for inguinal hernia. Please call 905-695-4911 to book a time. Would you please share with me what kind of hernia you had. After 3 months, 2 months with some insurance companies it is no longer considered a pre-existing condition. In Australia, the introduction of private healthcare has resulted in exactly what has happened here, albeit on a much larger scale. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. Most patients I know of that go to Shouldice go there specifically for the expert all-tissue repair, the classic old fashioned hernia repair sutured with their own tissues. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. This was a very informative post. 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. or skilled? We know how to fix recurrence, but fixing mesh complications is a difficult procedure. The collegial environment of you and your co-wounded seems to be a plus for most. I cant get a job people think Im pregnant or will need a leave of absence. Poor nights sleep (roommate having pain, snoring, up through the night for pain meds, temperature check by nurse at some point, etc). In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. I had a large bruise in the center of my abdomen below the belly button from the surgery and that has now gone away. Chronic disabling pain which needs ongoing pain medication and/or other management (including mesh removal in the most severe cases) is thankfully extremely rare after groin hernia repair, be it with or without mesh. 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 got a colleague to do it, with mesh, and a general anesthetic, as day surgery, in one of our local hospitals. The techniques used by the hernia specialists at Shouldice dramatically reduce the risk of recurrent hernias to approximately 1% over a lifetime. My first week after surgery at Shouldice wasnt too bad. Theyre like impossible to find it seems these days. I would think you could fix it now and get pregnant right away without worry. Fully sedated for duration of procedure. There are many reasons why mesh is used and many people do fine with it. 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. Chronic groin pain after hernia repair is a concern, no question. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? 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. In general looking forward to a day when performance stats for regulated professionals and their related clinics/practices will be available for scrutiny then we can all make decisions based on merit rather than hearsay or fuzzy notions of reputation etc. 2015 surgeries (inguinal, umbilical) performed at local Ottawa hospital by general surgeon, with some specialization in hernia repair. Having said that, the risk of recurrence is much higher with umbilical and epigastric hernias in pregnancy than with groin hernias. 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 then asked where do patients go if an infection or problems arise after that are serious? He said, emergency. So I arrived in emergency and drop a surgical problem on their doorstep with no follow up from the original surgeon? My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. 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. Now I have chronic pain and wondering if I should of stuck out the pain another week or two to find another Dr. for another opinion. The buddy system helps to reduce stress and anxiety and prepares you for a confident recovery. I am quite disappointed in myself for not having done a thorough investigation prior to my Shouldice fix. I have been refused appointments many times (non-hernia related), this is their prerogative, this is how they minimize their risks and headaches. I have just been chastised online for daring to criticize the Shouldice clinic on Twitter. Please call 905-695-4911 to book a time. Yes, but it will fade with time and is overly visible except when naked. Of course, that is difficult work which the shouldice is not interested in. 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. On what basis do you make the claim that the media over-represents the risk? Best of luck. Your comment/reply from January 25, 2016 AT 11:14 PM says: for the vast majority of patients they will be aware if their repair, or have to take medications for it., I am guessing that you probably meant:they will NOT be aware OF their repair, or have to take medications for it.. In order to lose the proper amount hed need to eat saw dust and exercise. Safe for airport scanners AND MRI.