Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. This is an excellent blog. It is important that you are not carrying excess weight around your abdomen. I had my hernia repaired there on Nov 2nd. On what basis do you make the claim that the media over-represents the risk? Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. As for tension free vs not, as I said in my blog, standard of care for most institutions is tension free (ie using mesh). Very interesting. .you should see the Gigantic infection I received from them and the sutures that were coming out of my incision. Shouldice specializes in this unique approach to hernia repair. 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. They do not have to do emergency general surgery, ever, how convienient. I had the Shouldice repair a week ago and am doing quite well. Whether that fear of mesh is warranted, I do not know. I would recommend this approach (and frequently do) to anyone, including my patients. Sadly once you get the mesh and have issues with it the medical community doesnt know what to do. Following this summers logging and landscape work I will report the status of all three repaired hernias. 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 . Im on the fence with going back to Shouldice or going with the local doctor. Shouldice patients have said again and again, how much they enjoy the Shouldice experience. We provide a lifetime of support to all our patients through our annual follow-up program. (Wait time "explodes" the closer utilization gets to 100%! To decrease the text size, press and hold down the command key on a Mac or the windows key on PC, then press the minus (-) key. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. Our current career opportunities are outlined below. He also reiterated that he also only does mesh unless of some other medical reason. He went to a top medical school and top intern in residency program. She suggested that the nerve fibre regrowth in the skin layers around the surgical site may be causing the sensitivity. Impossible to lose the weight. I agree with everything that you say. Shouldice patients frequen6tly return to work in a few days; the average total time off is eight days. A friend of mine had the mesh technique and it resulted in a tumour growth that was quite complicated to resolve. The recurrence rate with Shouldice techniques was higher than mesh techniques (OR 3.80, 95% CI 1.99 to 7.26) but lower than non-mesh techniques (OR 0.62, 95% CI 0.45 to 0.85). Also billing data was used for the study, which is a notoriously inaccurate way to study surgical outcomes. Unfortunately I believe their actual holistic approach was outdated sometime during the cold war. Shouldice, a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable, no mesh technique back in 1945. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . Secondly, I have not heard of desarda method. And yes chronic pain is an issue which needs to be better studied in terms of techniques to prevent it and treatments. So why would you do so for an inguinal hernia repair, a surgery that is far from simple and fraught with potential serious complications, mesh or no mesh. We have just reviewed 400 consecutive patients from 4 years ago and our recurrence rate is 2%. No I have not found a way to make any money out of my blog, just doing it for fun at this point. . But the patient should be made clear of the longstanding post-op, well documented issues of the real probability of chronic pain. Very good points Tony! 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. I had inguinal hernia repair at Shouldice in June 2017. I . There have been many mesh products that have been recalled over the years. In addition to issues of capacity and organizational analysis, describes a well-focused, well-managed . Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? I just want the best treatment possible with the lowest chronic pain! As anybody else, my concern is long term pain or discomfort and recurrence. 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. Shouldice Hospital is a bit of curious place. This is a microcosm of what happens when you introduce private interests into a socialized health care system. We take meshes out for pain on a weekly basis. Shouldice has arrived at its point of success by placing an emphasis on this high level of quality and effective care. My first week after surgery at Shouldice wasnt too bad. Hi thanks for your article. Shouldice is a business and I understand that like any business its primary goal is to make money. This expedited recovery time is due to the level of active physical rehabilitation that Shouldice Hospital expects from their patients. Should Clinic volumes necessitate due to physical distancing restrictions, you may be asked to wait in your car - please bring a cell phone to allow us to contact you. I hope that is helpful. 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. 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. Tell me about it..I had an accident at work. It has been repairing hernias for decades. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. Im not happy about Shouldice being sold to a private company but I do not see that your critique of their prior history is based on any accurate or well-analysed information. 4. shouldice offers a 4 day vacation. My son who is 17 years old has an inguinal hernia that needs to be repaired. 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. I have seen these numbers elsewhere also. Hi. How are you doing now? (thats gotta mean something!). More and more often, hes having flare ups where the blood supply to his groin is being blocked. About a week later the pain had completely subsided and I had no further significant pain. 8. Pure tissue technique, according to yourself and other general surgeons, has the risk of recurrence. Post author: Post published: February 16, 2022 Post category: gymnastika pre deti dubravka Post comments: cooper hospital kronos login cooper hospital kronos login View Map We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. 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. The risks and benefits of mesh should be discussed with a general surgeon. I was wondering what your thoughts were on the actual Desarda technique, not just the website. We were guests at the Shouldice Hospital last year. Thank you for this post. Besides the fact that it looks weird, my only concern is that given that Im only 42, the hernia is just going to get worse better to repair the pothole now than to wait for an emergency in the future. I have recently had a consult at Shouldice and had some concerns. When you come to Shouldice, you can expect to have a positive and pleasant experience. Not that hard to understand why their academic achievements are always lower than private ones. This is so important, but our electronic medical records do not allow that to happen at this point in time. Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. 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. My biggest concern is chronic pain and it seems there is a lack of research reporting on chronic pain and pregnancy. I had two hernias repaired in November last year. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. 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. https://www.ncbi.nlm.nih.gov/pubmed/10452261. The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. Straight truth from the USA here folks. So far no issues at all from the surgery or related to the reasons for the surgery. I have been there two times for both right and left side repairs. That's a lot of lost revenue, so it's understandable for practices to schedule as many patients as they can to mitigate the financial losses from missed appointments. Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. 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. Yes, some implants are great achievements like one of my friends who is 38 and got a pacemaker at 29, but I believe others have no place when they can be avoided with proper training. I did that search, and Im not sure if I saw exactly what you saw, but yes even though Shouldice method (performed at the Shouldice hospital specifically) has a very low recurrence rate, certainly mesh will have the lowest recurrence rate. 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. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. 3) Shouldice use sutures only, minimising foreign material being implanted into body, hence minimising most of afore mentioned risks associated with nerve damage. The mesh industry is too powerful and monopolize the medical society. I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. That is why Im looking at surgery but here in the US my surgeon says mesh is the only option and that he will be using a medium (as opposed to ultra light) mesh with plenty of overlap to repair the hernia. No referral is required. To get the best results from your hernia repair, you should be in the healthiest possible condition for your operation. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. The buddy system helps to reduce stress and anxiety and prepares you for a confident recovery. Do you have any other suggestions for me? We regret that we cannot make reservations on your behalf. Therefore, it would be more destructive to attempt to accommodate greater numbers of patients at the expense of the quality of either care or facilities. We have provided this list as a courtesy to our patients and their guests. I despise shoultice because they refuse to operate on any patients over weight. I am running 20-30km/week and have returned to normal activity. If the patient already has chronic pain after the first repair, the recurrence is not likely the cause. 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. Five days after surgery Im still in quite a bit of pain, and Im finding Tylenol to still be a must. Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. People seem to either love it or hate it. Thanks. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. I had my surgery done at Soldice 5 days ago. (2) do you know of the desarda method of no mesh surgery? Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? The procedure may be considered simple enough to be performed by a moderately intelligent baboon, but that isnt to say there cant be considerable variation in the quality of the work done.