Overall, I am pleased with both the experience and the outcome. Now I do on call, a lot, at a smaller hospital, and it is not my practice to refuse hernia repair to overweight patients, unless it is a very large, recurrent hernia, in a very obese or frail patient, where there is little risk of bowel obstruction. Comments Off on shouldice clinic wait times; June 9, 2022; ( I know I already said that but they were really that bad). From the group I saw (30 of us), virtually everyone was doing much better after the surgery. They were everywhere in the very pleasant grounds. State/public schools teach who theyre told to teach meaning everyone else who doesnt get to go to the private schools. I wonder what steps should I take once Im ready to see a new surgeon in Ontario? Designed exclusively to meet the needs of hernia patients, Shouldice is a fully licensed, 89-bed surgical hospital. Im looking forward to lesmcc1s response. Would you please share with me what kind of hernia you had. They do the surgery anyways. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. ow yeah, 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?) Often times we do not own up to our own responsibility in the situation. At Shouldice, we have one of the largest databases on hernia repair in the world. C. 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 always tell patients it takes as long as it takes to do a safe operation. Its not hard to understand whats happening here. A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. They do not deserve the reputation they have. Lets pretend that there is no influence of the medical-pharmaceutical industry on advertising about certain methods and medications as well as on the purchase of the professionals themselves, as is the case in several countries. As a surgeon with intimate knowledge of hernia repair, does the actual technique have a solid, anatomical basis and biological plausibility? I agree with everything that you say. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. That is simply how medical innovation for medical products in our capitalist society works. This is part of the problem with our record keeping. Please call 905-695-4911 to book a time. And then there are quite a few who seem to think the hospital is a hotel and taken in that light their comments are a little peculiar it was warm, clean, spacious. Standard Shouldice methodology admitted day before (process long, repetitive, old school handdraulic vice electronic). Do your homework and make an informed decisiongood luck. Yes, but it was over quickly, and I felt my recovery was extremely successful with minimal time off work. This was a very informative post. Mesh reduced the risk of postoperative urinary retention compared to non-mesh (eight studies, 1539 participants; RR 0.53, 95% CI 0.38 to 0.73, I2 = 56%, NNTB = 16, moderate-quality evidence . 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 got three different answers from Shouldice on how long I should wait to try and conceive after surgery (4 weeks, 3 months and 1 year). Femoral hernias are tricky sometimes whether mesh is used or not. They give you good care. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. In summary, I have to agree with lesmcc1: the technique, the hospital/facility itself, the four day stay, the old equipment, i.e., bed, the wound closure method, etc, all point to a we have always done it this way mindset. Best. I do not believe in the argument that the Shouldice doing so many repairs allows for more hernias to be repaired in our public system. But Im glad you had a good experience and outcome. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. 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. It has lots of windows and a bunch of couches and chairs to relax in, a television and plenty of magazines and newspapers to flip thorough. They are not sure what the issue for me is caused by. 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. Finally, I am sorry you are experiencing problems and I sincerely hope they are at the lower end of the spectrum. 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. First scheduled patients moved to pre-surgery prep. In addition to issues of capacity and organizational analysis, describes a well-focused, well-managed . Secondly, I have not heard of desarda method. Standard and mandatory wake up is 0530 for all. When needed, a hernia weight loss diet is individualized for each . 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. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. I seem to be a good candidate for pure tissue. Shouldice Hospital is a bit of curious place. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. Although operations are performed only five days a week, the remainder of the hospital is in operation continuously to attend to recovering patients. I have only good things to say about the Shouldice! 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. You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. Shouldice refused to accommodate my disability. Surgeons get really angry when people are allowed to do elective surgeries without providing on call services, which is essentially what the Shouldice is doing. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? There is a sunlit caf for reading and relaxation and a cheerful common room, where patients often gather for a friendly game of cards. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. The Shouldice will not be handing over their data anytime soon, unless forced to, I can say that with confidence. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. Certainly your hernia is symptomatic and should be repaired. Shouldice Inguinal Hernia Repair Post-op Instructions Surgery You have just undergone surgery to repair an inguinal hernia. Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. and then he has the audacity to tell me that I cant feel the mesh and that the pain is also in my head. My personal experience is that my husband moved a piano for me 20 years ago. We never rush you through surgery and send you home the same day; thats very stressful for both patients and their families. The washroom is our room was sporting a nearly unbearable urine smell. My luck, the guy was a heavy sleeper and snored all night which means I could not get that much sleep during my stay. I have been wearing the orthosis for six years. 5) Their procedure has a proven track record that has survived long after the hernia mesh repair became mainstream. I also have not had good outcomes with the medical community. 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). On top of that, the hernia still exists, larger and more painful than ever. I since switched meds and lost a bit of weight but Its so difficult to even move with a cantaloupe sized abdominal hernia. In fact, one would expect Shouldice to have better outcomes as they select patients who are at lower risk for recurrence before the surgery. Pick a curve, any curve (say, the red one). OUR PATIENT CARE When you come to Shouldice, you can expect to have a positive and pleasant experience. That is tough. It is very painful to walk, stand, cough, sneeze, laugh, use the washroom in any capacity and expect from the bruising that this will carry on for atleast another week. in sum, shouldiced uses high value, low cost strategy. Most of the arguments against Shouldice here seem to have very little to do with the actual technique, pain afterwards or recurrence (irritation, I thought, at the Southfork-like set-up and possibly also at their very existence fuelling endless questions like mine: is mesh a problem or isnt it? We know that people often find it challenging to manage their weight, especially when they have a hernia that restricts their ability to exercise. Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? 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. My recommendation for anyone 40 and under is to NOT get mesh. Ive contacted Shouldice and would much rather prefer not having a foreign object inside of me, especially given that this is my first ever surgery. Visitors will not be permitted in the patient rooms. Most of my comments refer to groin hernia repair and as I said at the beginning, are based on my opinion as a medical expert and fixer of hernias, not on any raw data, which of course is not available. For Michael:Google search Shouldice hernia failures. 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. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. Complications after a mesh surgery can drive the cost of a simple hernia repair into the hundreds of thousands of dollars. First time insurance paid 80 pecent That was 5 years ago and as you know us health care has changed dramatically Laat June when I had my second side done I was told nothing.. We all want the best, most cost effective public system but critiques must look at the whole system. Best of luck. In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. But the patient should be made clear of the longstanding post-op, well documented issues of the real probability of chronic pain. I do believe mesh allows me as a surgeon to do a tension free repair which causes less pain, both acute and chronic, post op. Given the choice, Id choose a hernia comeback. For over 75 years the Surgeons and staff of Shouldice Hospital have dedicated themselves to repairing abdominal wall hernias; it's all we do, having performed over 400,000 successful hernia repairs using our natural tissue technique without the use of surgical mesh and its serious complications. 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. 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. My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. Shouldice prepares you for your hernia operation and recovery. A lot of nerve damage occurred to my femoral nerve, and the mesh they have inserted is extremely painful. 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.. That is why we offer a diet counselling service to all of our patients. I do not feel Shouldice does an honest job of their success rate, but they are not the only place or surgeon to do that for sure. Shouldice - The best no mesh hernia repair for inguinal hernia. When asked about mesh and its complications I was told not to worry about them or the mesh as its good. Thats the bunch of b.s. This makes any numbers they publish about their recurrence rates completely out of touch with the reality of what myself and other general surgeons are dealing with in our practices. There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. For personal comparisons I am a 50+ year old male in average/above average health. I had the Shouldice repair a week ago and am doing quite well. Laparoscopic and robotic inguinal hernia repair procedures performed by qualified . Shouldice Hospital is not responsible for these services. Impossible to lose the weight. Discover the Shouldice Experience We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. Normally, there is no extra charge for semi-private rooms if youre covered by OHIP. It doesnt matter what method you have these days the recurrence rates are all about the same,low. 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. The food was better than I expected. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence It's nice and bright! Open. Sorry your husband had such a tough time with his hernia, hope he is doing well now. I would suspect you will look back at the experience with a fondness when it is all over even I also drove up both times. The other thing about hernia repairs is that recurrence rates have always been very hard to measure. Update been 8 months out and little to no change in the pain and other complications. By the time my son was 10 and we moved to Peterborough his hernia was the size of a pineapple infact it looked like he had a bag in his pants! Success is defined by the patient as as good as new and somewhat differently by many surgeons, who would probably view that as unrealistic I am absolutely NOT suggesting a conspiracy but why mesh can be a problem is still not well understood. I have to say, the experience was excellent. In fact, that is the only operation it performs, and it performs a great many of them. Having been an aircraft accident investigator I provide this comparison/critique in a strictly evidentiary way based on my experiences and observations from having had both procedures. Is your problem scar tissue? I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. I had researched the different techniques and decided I would rather have small surface area non-magnetic stainless steel sutures vs a plastic mesh. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. In the mean time, it scratches his inner leg that bleeds, he has fallen down the stairs numerous times, gets headaches and pees the bed! 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, they dont just do simple hernia surgeries on skinny people. .you should see the Gigantic infection I received from them and the sutures that were coming out of my incision. 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. Many of the patients in my cohort were from the US, one had driven over 2000 km to get the surgery. It has been repairing hernias for decades. Whether that fear of mesh is warranted, I do not know. We have provided a list below of accommodations and we have arranged special rates at some of these. The grounds were beautiful and interior spaces quite nice. 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. So while I agree with patients having to lose weight for some surgeries, I cannot on a practical level be that picky about it. 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. Safe for airport scanners AND MRI. Hi. They dont call it the Shouldice Experience for nothing. Employees should be trained and equipped to manage waiting customers, communicate information, and resolve issues. So this is a tricky situation. Thanks. Staff is helpful but not pleasant or friendly. Informed consent is crucial. If this is an arguement that many surgeons feel should be addressed then of course I would be open to hearing the arguments for it but I believe our health care system should have a structure thats based on requirements necessary for delivering good outcomes for patients at the best cost. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. Anyhow, one piece of overwhelming evidence in support of going to Shouldice that I found is in the Can. This expedited recovery time is due to the level of active physical rehabilitation that Shouldice Hospital expects from their patients. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s.
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