I havent made the decision yet myself, Shouldice or mesh. Thanks. There are days I literally cannot walk. When you come to Shouldice, you can expect to have a positive and pleasant experience. In fact, after asking permission and explaining the purpose, they live-streamed my operation to a Surgeons conference in Victoria, BC. In thinking Doctors are same as a lot of other industries. So the idea that you think there some sort of mesh industry monopoly is concerning to me. The recurrence rate for incisional hernia repair without mesh would approach 100 % for a large incisional hernia, so I (and most other general surgeons) would likely not recommend repair without the use of mesh. So while I agree with patients having to lose weight for some surgeries, I cannot on a practical level be that picky about it. I have been there two times for both right and left side repairs. I have had one for four years and besides some soreness at the end of the day, I am not in constant terrible pain. There is a small hard spot just under the belly button but it is slowly shrinking, I was told this could take some time. They do the surgery anyways. 4. shouldice offers a 4 day vacation. Are hernias covered by OHIP? One thing Ill add, is a problem with the Shouldice technique is that its complicated for a surgeon who is not very experienced with it. Designed exclusively to meet the needs of hernia patients, Shouldice is a fully licensed, 89-bed surgical hospital. 00%| | Expected . Mesh or the Shouldice method? I have put off surgery for four years because of concerns with mesh. The authors looked at repairs in Ontario hospitals over a 10 year period and concluded that Inguinal hernia repair at Shouldice Hospital was associated with a significantly lower risk of subsequent surgery for recurrence than repair at a general hospital. I find this absolutely compelling evidence supporting a visit to Shouldice versus other hospitals in Ontario and, for me, I think its plausible to believe that these findings would not be dissimilar if you were to compare Shouldice repairs versus outcomes of repairs done in general hospitals in the States. Shouldice is a business and I understand that like any business its primary goal is to make money. Those who react badly to mesh most are apparently young, slim females (usually not Inguinal). Awake and aware during surgery, no pain but the feeling of pressure and intense tugging. As for the staples, I had 16 and having them removed I hardly felt a thing. We regret that we cannot make reservations on your behalf. The patient management system (PMS) will schedule appointments, and patients arrive right in time after getting a status update via SMS or Whatsapp. I agree. Just returned to UK after Shouldice and its specifically mentioned in the folder. Chronic groin pain after hernia repair is a concern, no question. 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. 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. 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. I have contacted the operating hospital who caused the issue and theyve decided they do not want to assist in the issue any further. It seems like a roll of the dice. Would you please share with me what kind of hernia you had. Seventy years of existence can be touted as a measure of success and justification for the status quo Smith-Corona felt the same way about the typewriter. You are correct though, there are not good studies comparing the two methods. I am so sorry for your experience with the medical community. 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.. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. 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. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. Also, he only went there after years of being discouraged by general surgeons such as yourself but after multiple failed hernia surgeries by these same general surgeons. Now the Shouldice, a decades-old family business, is being sold to Centric Health Corp., a TSX-listed company that owns surgical and medical centres in four provinces, as well as pharmacies and home-care services. It's nice and bright! I think the most recent data is from 2012 and shows a higher failure rate at Shouldice than mesh. They stick to what they know but when they need to be different for the better of their patient they dont know how to and rather than referring their patient to one that would be better for the patient. They have been quite successful with it. After 3 months, 2 months with some insurance companies it is no longer considered a pre-existing condition. 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. 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! Shouldice Hospital Hospital #1 of 506 Facility in Thornhill, Ontario 3 Doctors Call Clinic View Map & Address Unavailable Ratings Doctors Top Facilities in Thornhill, ON Shouldice Hospital #1 of 506 Sunlight Dental Clinic #2 of 506 Matlis Medical, Urgent Walk-in Clinic, Sports Medicine Clinic #3 of 506 Grandview Dental Care #4 of 506 I hike a lot, mtn bike, lift >100# items, etc. ConvenientCare Berwick average wait time Save my spot 65 Briar Creek Plaza Berwick, PA 18603 Phone: 570-802-5590 Get Directions Monday - Friday: 9 a.m. - 7:30 p.m. Saturday & Sunday: 8 a.m. - 5:30 p.m. Closed: Most major holidays It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Dr. Yunis and staff accommodated my physical disability, handicap. From studies (which are few and far between), they both apparently have the same amount of chronic pain sufferers. I may get the same answers but at least Ive tried. The hospital also. Most patients never met their surgeons before surgery, or saw them afterwards. The standard of care now is to do hernia repairs with mesh, a plastic like substance which allows for less pain (if inserted properly), earlier return to work, and decreased recurrence rates. Bed manually adjustable by hand crank at foot of bed not comfortably or easily done post surgery. You, and others like you, in other words. Toronto is known as a wonderful getaway destination for those who enjoy world-class theatrical productions or professional sports. Change), You are commenting using your Facebook account. He did get a cyst in his rear about 2 1/2 years ago, the surgeon offered to take a look. I had my first one done at Shouldice (10 yrs ago) and no issues with it unless I do a lot of hiking or lifting and then maybe a bit of soreness in the left groin. Regarding the Weve always done it this way aspect? I would love to see some frequency distributions for Shouldice repairs vs inpatient time and time back to work. Also, I would check w your insurance company before travelling. I think 3 or 4 tomorrow in fact. If someone has a hernia surgery at one hospital and then develops a complication they could easily end up at the emergency department of some other hospital having the repair done by a completely different surgeon. Thanks for your comments. 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. I will really appreciate your informed feedback and sincerely hope that maybe more folks will follow your lead in helping make society better informed. OUR PATIENT CARE When you come to Shouldice, you can expect to have a positive and pleasant experience. 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. That is an important distinction. Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. I had my surgery done at Soldice 5 days ago. I wonder what steps should I take once Im ready to see a new surgeon in Ontario? I play sports 3 days a week, I run competitively, etc, and virtually no pain. Some of the patients will already have been through the operation and will be happy to offer reassurance and support. I agree with everything that you say. I am still avoiding heavy lifting, but everyday lifting activities (groceries, young children, etc) arent causing any issues. I had should ice give me the paperwork anyway and submitted it 2 times to my insurance and went thru an appeals process Finally I did get about a 60 percent payment back Think they got tired of me.. Haha. Even with insurance in the USA, high deductibles and co-insurance means hernia surgery is still a very hefty expenditure well into the thousands, it could easily be the price of a Shouldice repair, but performed by someone with not nearly the expertise. EMR should allow for reporting of all surgical complications and feedback to the surgeons on their complications, including how many of their hernias recur. The class action lawsuits in the US are concerning to me. by | Jun 30, 2022 | zip code for princes town, trinidad | smbc leveraged finance | Jun 30, 2022 | zip code for princes town, trinidad | smbc leveraged finance But then you will have had two surgeries instead of one, with the risks that entails. 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). I would love to see their numbers as well, but that is unlikely to happen soon. 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: Hernia repairs can be done without a general anesthetic at other locations as well- I routinely do mine without a GA. Shouldice is the gold standard of no-mesh hernia repair. 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? 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. I went to see my family doctor as I live too far from Shouldice to visit. I am scheduled to have a right side repair done at Shouldice next week. If I could go back Id take my chances on reoccurance hands down. But ask yourselves this: is it really that important a year later if you slept in an uncomfortable bed for a few days if you have no chronic pain or ever have to worry about developing it? We are currently accepting patients in our Examination Clinic by appointment or limited walk-ins on a first-come, first-served basis. 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. That is simply how medical innovation for medical products in our capitalist society works. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer . Often times we do not own up to our own responsibility in the situation. 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. Toronto Transit. Best of luck Dean. Standard and mandatory wake up is 0530 for all. When I went for my pre-op. In fact, the vast majority of hospitals would offer hernia repair. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. ( I know I already said that but they were really that bad). Thanks for the comment and info. Five days after surgery Im still in quite a bit of pain, and Im finding Tylenol to still be a must. My recommendation for anyone 40 and under is to NOT get mesh. 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. Your hernia will need to be fixed, no question. 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. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. Mesh has become widely adopted because it decreases recurrence rates of hernias, not due to concerns about chronic pain. I would think you could fix it now and get pregnant right away without worry. Hi Tyler. Hello lesmcc1. 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. Which method is the best option considering I want to get pregnant? Complications after a mesh surgery can drive the cost of a simple hernia repair into the hundreds of thousands of dollars. The sheet says this ridge will last for several months (oh joy). 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. In fact, one would expect Shouldice to have better outcomes as they select patients who are at lower risk for recurrence before the surgery. Normally, there is no extra charge for semi-private rooms if youre covered by OHIP. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. I higly recommend Shouldice Hospital. She asked me to monitor for fever and other signs of infection and to wait a few more days. Lets start with the Pros Staff was decent, Now the Cons She commented that the incision was very near and well done. Informed consent is crucial. Pain is tolerable(sensation of burning/stabbing in groin) that subsides quickly with reduction of effort/strain. It was then allowed special licence by the Ministry of Health to continue operating. Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. 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. 2021 Apr 1;51(4):67-69. doi: 10.1097/01.NURSE.0000736968.01359.e0. The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. The benefits of mesh far outweigh the risks for the vast majority of adult hernia patients. As for my health state, today is two weeks and I am still having significant pain from the muscle lump. Ive had mine for years (think its due to c section surgery or pregnancy) Last year, it had a record year and performed nearly 7,500 operations. Leave jewellery and other valuables at home. I just had my inguinal hernia repaired at Shouldice. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. 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. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. So this is a tricky situation. Walk-in spaces will be provided for a limited number of patients every Monday to Friday. Thinking logically, implanting foreign materials in your body is a matter of concern. Would you go to a dentist or have any other surgicla procedure done without knowing a thing about the surgeon? In this respect, mesh in the future could still have a place but as a last resort rather than the first thing the surgeon grabs! Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. 5. shouldice offers a social experience. For Ontario residents, the Shouldice procedure is covered except for the cost of the semi-private room which is covered by many insurance plans. The Shouldice clinic is a good example of that. We've found that this peer-to-peer mentoring is important. Care and service do not stop once you leave Shouldice Hospital. One patient told me he didnt want to go back to Shouldice with his recurrence because he couldnt afford it. Authors Anna Bradshaw 1 , Sarah Raphaelson. Best. Following this summers logging and landscape work I will report the status of all three repaired hernias. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. More and more often, hes having flare ups where the blood supply to his groin is being blocked. Reilly's, a disused bar, was barricaded up by the rebels, and it . 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. 2) No tacks or staples inside the abdomen to further the chance of nerve damage. 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. The standard of care when the Shouldice was formed was a primary (suture) repair and lots of days in hospital recovering from the pain of having your own tissues reamed together to repair the hernia. An article I just read after using your suggested search term called Inguinal Hernias: A Current Review of an Old Problem mentions recurrence rate at a specialized center (Shouldice hospital) being 0.7% to 1.7%, but Shouldice technique done at a general hospital with a general surgeon was as high as 15%. Surgical Wait Times Diagnostic Imaging Wait Times (CT and MRI) Ontario Health is an institution under the Freedom of Information and Protection of Privacy Act, 1990 (FIPPA), and has policies, procedures and practices in place to ensure that its collection, use and disclosure of personal information is in accordance with FIPPA. But the reality is that in Ontario anyway, major hospitals are getting as bad as any private clinic in letting cost considerations trump quality of patient care, but thats a whole other topic. Hopefully you find an answer. I cant get a job people think Im pregnant or will need a leave of absence. In fact, the most over investigated, over treated patients are likely to think they have great care, when the opposite is the truth. Registration will begin at 8:00AM and will close once we have reached the maximum number of appointments available that day. If hernia repair is right for you, well set a hospital admission date that is convenient for your schedule. 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. 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. From a patient and voter point of view, I dont see why all surgeons need to do emergency or on-call work. That would depend on what age the first repair was done, the time since the first repair, and the BMI and other health factors (such as smoking) of the patient with the recurrence. Impossible to lose the weight. Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. For personal comparisons I am a 50+ year old male in average/above average health. 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. Are you willing to be more specific about the nature of your problems post op? .you should see the Gigantic infection I received from them and the sutures that were coming out of my incision. The other day I split a bush cord of firewood and my shoulder was sore but not my groin. 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. Having to go in the day before surgery and staying 4 nights seemed odd in this day and age. My hernia was considerably large and very uncomfortable (both surgeons recommended it get repaired soon as it was quite large and at risk for obstruction in the future) in fact, I was no longer able to play sports anymore. Is this because Shouldice thinks this is good care? 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. I am now currently here in August 2016. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Beds and pillows are absolute garbage ( bring yourself a sleeping bag for the floor for a more comfortable sleep) On what basis do you make the claim that the media over-represents the risk? Sounds like he needs a repair, although you dont need to worry about blood supply usually. They do this to improve success rates (which of course patients want too) to reduce fat in the tissues which, I imagine you know but others might not, is a factor with or without mesh. Do not use mesh, It can or will disintegrate in time like me and a friend too. I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago. Drs. | 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. 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. (Wait time "explodes" the closer utilization gets to 100%! Do you have any other suggestions for me? 600 Highway 7Thornhill, Ontario905-881-26002.5 miles from the hospital. I got a colleague to do it, with mesh, and a general anesthetic, as day surgery, in one of our local hospitals. There are definitely many who travel to Shouldice from the USA, where last I heard it runs somewhere around $6500 paid out of pocket for an inguinal hernia repair and the multiple night stay in a facility that supposedly feels collegiate. I dont know where you got your information that the Shouldice doesnt use mesh but this is incorrect. The worst things said seem to be about the dcor of the hospital, the way the nurses and doctors treat you/pillows too small/beds like rubber etc. 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.. My biggest concern is chronic pain, and the medical papers I have found do not give the Shouldice method the best score. My pain has continued and in the last 4 months has progressively gotten worse vs getting better. I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. Employee Training Those who are picked to be on the front-line, are the ones who can help create a great customer experience. So this big beach ball he will bring to his death. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. Ive tried this though for me personally, it made it worse for me so they are leaning towards it rubbing on my nerves. All Drs are well experienced and trained. 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. 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. Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. Studies show that half of all recurrent hernias develop many years after the original repair.

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