I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. Now the Shouldice clinic does do something I agree with in part. I think 3 or 4 tomorrow in fact. Sorry to hear that John. Im left asking the question do I fix it now or after pregnancy? http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/ 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. 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. And yes chronic pain is an issue which needs to be better studied in terms of techniques to prevent it and treatments. 2 The Lichtenstein procedure was learned from a book, 10 instructional videos, and personal communication with Irving L. Lichtenstein, MD. 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. Ive had this hernia since I gave birth to my child 9 years ago and my life has been very bad since. I hear that the wait time is up to a few years for the surgery itself. Staff was decent, Now the Cons Safe for airport scanners AND MRI. Given the choice, Id choose a hernia comeback. The median waiting times for cataract surgery ranged from 24 days in Italy to over 250 days in Poland. To see how we do a Modified Shouldice visit http://www.herniaoperation.co.uk 2. shouldice offers low cost. All Drs are well experienced and trained. 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. 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. So I am 4 days post surgery from Shouldice.My tackle is extremely bruised so I can not say that I will maintain objectiveness. My Aunt diagnosed with Hernia disease recently. Creepiest Pre Op room Ever. Not only are metrics regarding the likelihood to recommend and the overall satisfaction with the experience negatively impacted by longer wait times, but increased wait times also affect perceptions of information, instructions, and the overall treatment provided by physicians and other caregivers. The whole experience was quite pleasant, and Sarasota, Florida is a beautiful, wonderful place to visit. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. 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. Do you have any other suggestions for me? Sounds like he needs a repair, although you dont need to worry about blood supply usually. A: The Shouldice repair is named after Dr. Edward Earle Shouldice (1890-1965), the Canadian surgeon who invented the technique in the 1940s. Ive had it for about 1.5 yrs now and because its not painful and really just a small bump Ive not bothered with it until last fall when I saw a local general surgeon about it and scheduled the surgery for May as I go away in the winter. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. Update of previous post. Certainly not brochure material. Patients are required to be within 20 % of their ideal body weight, and are refused surgery at the Shouldice if they do not meet this criteria or lose the weight. Train operators. Shouldice Hospital is a bit of curious place. 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. I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. Dr. Yunis and staff accommodated my physical disability, handicap. I would love to see their numbers as well, but that is unlikely to happen soon. Id stick to an open or lap repair with mesh applied externally. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. Groin hernia repair is a day surgery procedure in Ontario (anywhere but the Shouldice clinic) with no overnight stay required, unless complications arise or in very frail or sick patients. Physicians (surgeons) do what is best for themselves and the patient when making the decision whether or not to operate. Recovery done at home, pain meds prescribed, incisions very tidy, standard sutures, little to no swelling or bruising. Overall, I am pleased with both the experience and the outcome. Are hernias covered by OHIP? Is this because Shouldice thinks this is good care? The Shouldice clinic admits patients the day BEFORE their surgery. 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. Id be curious to see some data comparing patient outcomes for slim patients at Shouldice vs the rest of the system. The doctor in Quebec told him to lose 30lbs and he did but while waiting his hernia became even larger. Dr. Shouldice developed his innovative technique during World War II, to help young men who were unable to enlist in the military because of their hernias. As for tension free vs not, as I said in my blog, standard of care for most institutions is tension free (ie using mesh). Well keep in touch every year and offer you an opportunity to have your hernia repair checked and monitored by our surgeons. We have provided a list below of accommodations and we have arranged special rates at some of these. He said these were all old issues and not an issue wirh the new good mesh. 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. Just another casualty to this epidemic caused by mesh. They can walk in, and be called in to be seen by the doctor without having to wait for long. 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. It is a small hospital dedicated only to hernia repair. My biggest concern is chronic pain and it seems there is a lack of research reporting on chronic pain and pregnancy. About a week later the pain had completely subsided and I had no further significant pain. Update to the above. Ive had other friends have a nerve block and it helped them for months so it is hard to know the amount of help it may give you. The Shouldice clinic is a good example of that. Hi there what do you believe offers the least chronic pain for hernia surgery (inguinal)? We encourage you to take advantage of these beneficial patient programs. Please mention Shouldice Hospital when you make your reservations. I tend to agree more than disagree with the surgeons comments about Shouldice with regards to their capitalistic method. I have seen these numbers elsewhere also. As anybody else, my concern is long term pain or discomfort and recurrence. 1. shouldice offers reliable hernia repairs, with few relapses. Sheraton Parkway600 Highway 7Richmond Hill, Ontario905-881-21211-800-668-0101Call hotel for special Shouldice rate.2.5 miles from the hospital. I think I am going to stick with a repair by a general surgeon at my local hospital. Shouldice Hospital is a great place to work. 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 havent made the decision yet myself, Shouldice or mesh. In my opinion Justin you could have got 10 opinions and with a different surgeon had the same unfortunate result. The hypochondriac insisting on stronger pain meds and special priveleges to the I dont need pain meds tough guy. It is virtually impossible to find any real data on Shouldice. 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. Im traveling from the US and paying the entire bill myself (my insurance does not cover non-emergency out of country surgery). | 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. Success rates should indicate level of difficulty/complications/etc but why as a patient should I not be happy for surgeons to develop specialty areas or clinics for easier surgeries that do not need to be supported by the larger and more costly structure of a full hospital? I agree with Toronto that it is hard to find any real data on the Shouldice clinic. 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. This involves making an incision . 14 Weeks with mesh. Personally, I have a walnut sized umbilical hernia and am within the upper bounds of the ideal physical category. Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. Stop smoking for a least 2 weeks before your surgery. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. Its not hard to understand whats happening here. Prior to your visit, you are encouraged to complete and submit aMedical Questionnaire on my.shouldice.com. The surgery at Shouldice reportedly costs in the neighborhood of $5,000 to $8,000, less than a similar surgery in the U.S. that 90% of the time uses polypropylene mesh. Your hernia will need to be fixed, no question. I am very happy with the outcome and am glad I didnt go for a mesh repair. Theyre like impossible to find it seems these days. As usual the media has overrepresented the risks. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. colonel frank o'sullivan interview; beverly hills high school football No I have not found a way to make any money out of my blog, just doing it for fun at this point. 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. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Do you know of any doctors in Ontario who will operate on overweight patients with abdominal hernias? Or that you are cynically making a play for a vast damages pay out. . Is this a factor? So far no issues at all from the surgery or related to the reasons for the surgery. 2) No tacks or staples inside the abdomen to further the chance of nerve damage. The staff were unfailingly courteous, even when under all-out attack by the annoying. I returned to work with some discomfort but progressed to feel quite comfortable. Without insurance, an open hernia surgery is easily $20,000+ if not more in the states. At the same time, it is clear that . You have to follow patients for decades to know your real recurrence rate, and patients also are not likely to go back and see the same surgeon (or a clinic) once they have had a recurrence. Fully sedated for duration of procedure. Migration can happen . I despise shoultice because they refuse to operate on any patients over weight. I am now currently here in August 2016. Thanks Kram. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. On another topic, but those expenditures offer a glimpse as to why medical bills are the primary reason for personal bankruptcy in the USA. . Choose your surgeon carefully. Founded in 1945, Shouldice Hospital is the world's leading centre of excellence in abdominal wall hernia repair. I do everything I want without restricting myself.