A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. Train operators. Thank you for this post. Im traveling from the US and paying the entire bill myself (my insurance does not cover non-emergency out of country surgery). Pain clinics are full of patients who have had open mesh repairs. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. Shouldice is licensed by the Ontario Ministry of Health, which covers the entire cost to Ontario residents of hernia operations there under OHIP, the. I had a large bruise in the center of my abdomen below the belly button from the surgery and that has now gone away. https://www.ncbi.nlm.nih.gov/pubmed/10452261. I have been informed by most of the local hospitals that there is nothing they can do. We provide a lifetime of support to all our patients through our annual follow-up program. There is a limit of 2 visitors per patient. This is why they went to Shouldice in the first place, in the Toronto area it has a kind of mythical acclaim. I think is a matter of profit from this industry. I wanted to provide an update on my above comment and how my recovery has gone. As for the staples, I had 16 and having them removed I hardly felt a thing. Doctors and nurses very knowlegdeable, and covered by OHIP. They do the surgery anyways. If I could go back Id take my chances on reoccurance hands down. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. 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. Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. 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. There are certainly many issues to be factored in but as a patient my number 1 concern will always be having surgeons working in environments that are conducive to producing good outcomes for patients and I have not yet seen any convincing arguments for disallowing the development of specialties though I do have concerns about the influence of profit as a motivating factor. 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? 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. Different policies will exist. When staring down the prospect of putting a foreign substance in your body, as a patient you need to be treated with respect and provide knowledge and experience when asked. Three delicious meals every day, plus an evening snack, An exercise program specifically designed to speed the recovery of hernia patients, Professional advice for a healthy recovery, Access to on-site massage therapy (extra charges apply). We have provided this list as a courtesy to our patients and their guests. I had an inguinal (opposite side) and umbilical hernia repairs done using mesh two years ago. Sometimes this cost is paid out by private insurance companies if the patient has a health benefits plan, or by the patients themselves. The data we need are the rates for chronic pain which is very hard to come across for any of these techniques. Possibly related to how much private insurance you carry. shouldice clinic wait times. shouldice clinic wait times. The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. The nursing staff was a mixed bag, as would be expected anywhere. I hear that the wait time is up to a few years for the surgery itself. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. The Shouldice clinic was purchased as an estate in the early 50's, so it definitely has that old, historic feel to it. So one last confession. 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. Shouldice I learned the name even before it had become personally relevant and noted it. Dr. Yunis and staff accommodated my physical disability, handicap. 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 . Ive tried this though for me personally, it made it worse for me so they are leaning towards it rubbing on my nerves. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. Is it because they make lots of money off the patients and the taxpayers? 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. Relaxing views and an estate-like setting are an important part of the total Shouldice experience and help to stimulate the bodys own natural abilities to heal. 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. Odds are, I am going to be the one digging out a blocked or gangrenous piece of bowel from this hernia in the middle of the night if I do not fix it electively. Fully sedated for duration of procedure. What happened to good doctors? Besides, if the Shouldice process were to fail or post-op complications were to become unbearable, would it not be possible to use a mesh then? Ill lift 100+ pounds while working around the house without thinking about it. The hypochondriac insisting on stronger pain meds and special priveleges to the I dont need pain meds tough guy. | 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. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. 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. I will continue to recommend the Shouldice and feel it was the right choice for me. I always tell patients it takes as long as it takes to do a safe operation. Not to mention youll be competitive with Shouldice. I had my hernia repaired there on Nov 2nd. 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 Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. The Shouldice clinic admits patients the day BEFORE their surgery. Look for nih data. I honestly cannot think of anything much to criticise beyond, just possibly, the tendency for some staff to be satisfied with your progress in their own minds, but could convey this rather better to the patient my equipment turned black and trebled in size so I had to get a specific answer to my question: is this normal? They have permanent audit staff and know their outcome details. Surgeons need to do emergency work or perforated appendicitis, gangrenous gallbladders, and blocked bowels (sometimes stuck in hernias) would not be dealt with, and patients would die. 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! A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. (thats gotta mean something!). In my opinion Justin you could have got 10 opinions and with a different surgeon had the same unfortunate result. I agree with Toronto that it is hard to find any real data on the Shouldice clinic. Ill see how it continues and report again in a month or so. Here in the United States physicians can opt out of the Medicare system (for elderly) and refuse to treat medicare patients. (LogOut/ There have been many mesh products that have been recalled over the years. NURSING ANESTHESIOLOGIST 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. They do not take overweight patients, they do not take complicated cases, and they do not take hernias that are not obviously visible right at the time of surgery itself. Ive read of issues with all repair methods except for TAPP laproscopic have you heard of it? People seem to either love it or hate it. Certainly not brochure material. Or it isnt the mesh itself so much as the insertion procedure? The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. I went into general surgery because its well, general. The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. 2016 Feb;59(1): 19-25. 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. Many of the patients in my cohort were from the US, one had driven over 2000 km to get the surgery. There is nothing spectacular about this facility. Its called cherry picking the easy cases and its exactly what Shouldice does. A groin which has been operated on for hernia will never feel the same as before the hernia repair, but for the vast majority of patients they will be aware if their repair, or have to take medications for it. I am so glad to read this. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. My husband was asked to lose weight for the surgery but still was not skinny. We regret that we cannot make reservations on your behalf. This is so important, but our electronic medical records do not allow that to happen at this point in time. Of course when people go there, they are concerning about the bumps that they have so, and they do not take hernias that are not obviously visible right at the time of surgery itself. Many didnt even know their surgeons name. You dont know till you try it if it is going to help or not. I also have not had good outcomes with the medical community. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. Hernia repairs can be done without a general anesthetic at other locations as well- I routinely do mine without a GA. At this stage I cannot guage the quality or durability of the underlying repair. Please call 905-695-4911 to book a time. I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. My father, a neighbour, and a former co-worker have had hernia repairs in the last few years. The Shouldice Clinic has demonstrated the procedure's durability and safety with 75 years of experience. I then met the doctor who told me to lose 25 pounds and return. I have only good things to say about the Shouldice! Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. I think the most recent data is from 2012 and shows a higher failure rate at Shouldice than mesh. 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. From the research Ive done, nearly 70 hours of it; Shouldice offers distinct advantages over mesh repair in the following ways: 1) No concern from implant of foreign object; ie fear of allergic reaction to mesh, worry of mesh erosion over the decades and nerve damage caused by mesh. Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. 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. Our registered dietitian will develop a personalized weight loss program for you and show you how to make healthy food and exercise choices. My email is attached here if you would like to email me! I guess my point is that everyone who goes to the Shouldice is going to have a good outcome, because they are doing the slim patients. 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?) 8. Did I have any discomfort during recovery? I would think you could fix it now and get pregnant right away without worry. Last year, it had a record year and performed nearly 7,500 operations. About a week later the pain had completely subsided and I had no further significant pain. 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. I asked multiple times to my surgeon prior to the operation on chronic pain and other complications. I am not going to comment on specific cases, just generalities here. On top of that, the hernia still exists, larger and more painful than ever. Id be curious to see some data comparing patient outcomes for slim patients at Shouldice vs the rest of the system. Pitfalls and Danger Points Infection Hemorrhage Injury to bladder and bowel Postoperative testicular atrophy and hydrocele Chronic postoperative pain Ejaculatory dysfunction Hernia recurrence I am so sorry for your experience with the medical community. I was told my mesh was new but found that it hasnt changed much since 2009 when Bard first came out with this polypropylene mesh. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. To me, mesh is the risk here, not hernia recurrence with pure tissue. Has mesh been inside anyone for 40-50 years? Also, I doubt if any teaching staff in state/public schools has many good things to say about private education, the reasons only too obvious. Shouldice Hospital (formerly Shouldice Hernia Centre) is a private hospital at 7750 Bayview Avenue in Thornhill, Ontario, Canada. They were everywhere in the very pleasant grounds. may be involved. He did get a cyst in his rear about 2 1/2 years ago, the surgeon offered to take a look. Informed consent is crucial. Over the past two decades this small 90-bed hospital has averaged 7,000 operations annually. 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. As I said at the beginning, this blog is my opinion and I have a conflict of interest BUT evidence based medicine would say you need to be doing hernia repairs with mesh. While I do like my patients to rest after surgery, they dont need to do it in a hospital setting. So yes, that is you, the taxpayer, footing the bill for unnecessary care being provided by a private company. 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. Dr. Jonathan P. Yunis is a very professional, accomplished, journeyman surgeon. 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?? Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. At Tar, I have a consultation in 6 months to decide if I am eligible for surgery (I can tell you now I am) at a local hospital. That was a bit odd. The Shouldice will not be handing over their data anytime soon, unless forced to, I can say that with confidence. Secondly, I have not heard of desarda method. my time at portia how to turn in commission; scholl canyon scorecard; westin savannah gift shop; fashion journalism schools in new york; windows 11 start menu all apps default; avelia liberty travel time; burial laws california; there there powwow summary; Menu. I imagine quite a few would turn tail and run, but listen: I was NEVER in pain and it only lasted 5 days and it had to be done. I agree with John. I applied to Shouldice and was refused surgery for my inguinal hernia. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. Oddly general surgeons have recommended neurectomy though the pain clinic doctors I saw were highly against this type of procedure. A version of this commentary appeared in the Vancouver Sun, Huffington Post and iPolitics.ca. It is nice to have met your surgeon before any surgical procedure though. In fact, the vast majority of hospitals would offer hernia repair. Hi, I am the diabetic obese patient with an abdominal hernia. SHOULDICE HOSPITAL - 33 Photos - 7750 Bayview Avenue, Thornhill, ON - Yelp Auto Services Shouldice Hospital 3 reviews Unclaimed Hospitals Closed 9:30 AM - 3:00 PM See hours Write a review Add photo Photos & videos See all 33 photos See All 33 You Might Also Consider Sponsored Centres For Health And Healing 16.4 km away from Shouldice Hospital Just frustrating and agree with you on the best I later found out that my friends younger brother had a repair done at the small hospital and has no complications after 8 months with mesh and I went to the one in the area that is considered the best Ive just come to expect the worse I think I have a cloud that just fallows me around :p LOL. And if not, would I need further surgery in my 60s if I gain a few pounds. I am now currently here in August 2016. He said these were all old issues and not an issue wirh the new good mesh. This is an excellent blog. I had minimal bruising and swelling, and am mostly back to normal a few days after surgery. I know once Ive been opened up there is no going back. Would you please share with me what kind of hernia you had. For personal comparisons I am a 50+ year old male in average/above average health. He takes the time to explain everything to you, during the consultation, before the surgery, and after the surgery. 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.. 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. Shouldice Hospital was established in 1945 by Dr. Edward Earle Shouldice (1890-1965), inventor of the Shouldice repair. 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. The food was better than I expected. 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? Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. I can still thankfully work but havent been able to exercise without being in major groin pain. Do you have any other suggestions for me? 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. We have provided a list below of accommodations and we have arranged special rates at some of these. My biggest concern is chronic pain, and of course it will be quite some time before I know if thats going to be an issue. 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. I find it hard to get solid information of one method vs the other, maybe because there really isnt any. Thanks. Its one of the great things about my job. More and more often, hes having flare ups where the blood supply to his groin is being blocked. 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 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 prayer times of each of the five prayers are determined by the specific position of the sun in the sky. The average stay of patients is 3.2 days. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? He had the choice of Shouldice or a Toronto area hospital. And Shouldice does screen patients to make sure they have an appropriate BMI and are setup for long term success. Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. You may be regret waiting some but better to wait an added week or month than have chronic pain as I do. Chronic groin pain after hernia repair is a concern, no question. The Shouldice Clinic outside of Toronto, Canada has demonstrated extraordinary safety and durability with their technique. Hello lesmcc1. 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. I just want the best treatment possible with the lowest chronic pain! They actually recommended that my other hernia not get operated on as it was too small to be fixed (which was really impressive that they gave the correct advice, watch and wait). My father needs a hernia operation. The place is charming. I had researched the different techniques and decided I would rather have small surface area non-magnetic stainless steel sutures vs a plastic mesh. Procedure The clinic sits on luxurious grounds and offers one thing and one thing only. I have been taking hot baths daily and massaging the area, but it doesnt seem to help. Shouldice - The best no mesh hernia repair for inguinal hernia. Leave jewellery and other valuables at home. Hello Justin. View Map. I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. 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. The beds were terrible. You see the full range of personalities there. 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. I suspect looking into that would be very difficult indeed. (sorry if i made any writing mistakes, English is not my first language). It is supposed to be better than Shouldice. From what research Ive done some say physical therapy helps. Im looking forward to lesmcc1s response. Comments Off on shouldice clinic wait times; June 9, 2022; I believe every patient has to make their own decision. Others who have had surgery at their local small hospital and everythings good.
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