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). 65 Minthorn BoulevardThornhill, Ontario905-707-65332 miles from the hospital. Thanks for getting back to me. Instead, youll stay as our guest for a few days, while you participate in a holistic, professionally supervised program of healing and recovery. I have never worked at, or been involved with the Shouldice clinic, so this blog comes from my own professional opinion as a general surgeon/hernia fixerand defender of evidence based medicine and socialized healthcare, discussions with many patients who have gone or are considering going to the Shouldice clinic, going to a talk some years back given by a surgeon who worked there, and the Shouldice clinic website. 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. I tell women who may get pregnant after a repair that there is a higher risk of recurrence of the hernia because of the stretching of the abdominal wall with pregnancy. Post author: Post published: February 16, 2022 Post category: gymnastika pre deti dubravka Post comments: cooper hospital kronos login cooper hospital kronos login I think is a matter of profit from this industry. I know Shouldice will also cost me more than getting the mesh procedure done in-network here in the US but I feel that at least Ill be giving myself a chance of not exposing myself to a permanently inserted foregin object. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. 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. 5. shouldice offers a social experience. 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. 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. I would ask your family doctor for a referral to a general surgeon who does hernias from incisions to discuss the pros and cons of a repair in your situation. Thinking logically, implanting foreign materials in your body is a matter of concern. Often times we do not own up to our own responsibility in the situation. However, these hotels have NOT been inspected by the Shouldice Hospital staff. Please bring your health card, your family doctor's contact information, and details of prior surgeries and current medications. and a less wait time surgery would be quite worth it. The Shouldice procedure was learned from personal observation at the Shouldice Clinic, a book, 9 and instructional articles. They told me they were being charged much less at Shouldice than they would have paid out of insurance in the US. 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 dont know till you try it if it is going to help or not. I would not that in Canada most people are referred to a surgeon they do not really know for most procedures. On what basis do you make the claim that the media over-represents the risk? There are days I literally cannot walk. Naturally Id like to see the same for the hospital system. I play sports 3 days a week, I run competitively, etc, and virtually no pain. The goal is to help patients lose weight so that fat no longer hangs from and weakens the abdominal muscles, helping the surgery to go more smoothly. My husband got discouraged and gained even more weight. I am handicapped and must wear an orthosis when horizontal (supine) for a cervical spine condition which I have had debilitating symptoms for twenty-two years. I have seen these numbers elsewhere also. See more You share good times with the people you meet there. Following this summers logging and landscape work I will report the status of all three repaired hernias. 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. Thank you. They dont call it the Shouldice Experience for nothing. Realistically, I am 50, 57 and 163 pounds, am I really going to lose 30 pounds and keep it off for the rest of my life? I had even specifically asked not for mesh or one that is chemically compatible with tissue and got one that wasnt as it is cheaper for them, hospitals, to use one, which has been shown to cause chronic inflammatory response and pain. Most patients I know of that go to Shouldice go there specifically for the expert all-tissue repair, the classic old fashioned hernia repair sutured with their own tissues. No referral is required. By the way, my sister is an RN at HHS who recommended Shouldice from what a Doc recommended to her. That is simply how medical innovation for medical products in our capitalist society works. This involves making an incision . I had an inguinal hernia repair at Shouldice 4 days ago. The general surgeon I seen advised 6 weeks. Naturally I did not wait and had a laparoscopic mesh insertion operation in November in one of the major hospitals around the GTA. But sometimes recurrences do happen. Im sure there are anomalies in either system, but like I said, Im rather surprised to hear that a place that is known for its speed (even among layfolk that have no business following the performance of hernia clinics) is being depicted as slower than public held alternatives. That is tough. They were everywhere in the very pleasant grounds. My hernia is fixed and I have a verbal confirmation that I could lift weights directly after surgery. 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. My experience was extremely positive and I would not hesitate to return there. While I do like my patients to rest after surgery, they dont need to do it in a hospital setting. 14 Weeks with mesh. A very hard ridge is forming under the incision, which the patient discharge sheet says should be expected. Same nurse. minutes at a time, several times a day during the first few days after surgery If you are unable to have a bowel movement following surgery, a mild laxative such as Milk of . Not speed of hospital discharge. 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. She examined the surgery site and indicaed that my incision site was in good condition without any signs of infection. 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. We all want the best, most cost effective public system but critiques must look at the whole system. Do your homework and make an informed decisiongood luck. Sorry your husband had such a tough time with his hernia, hope he is doing well now. You can travel with a hernia as long as its been 3 months since you were seen for it. Choose your surgeon carefully. Shouldice prepares you for your hernia operation and recovery. 5 weeks after surgery, my scar looks pretty much healed and I expect it will fade with time. I do everything I want without restricting myself. At the same time, it is clear that . 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. Most patients never met their surgeons before surgery, or saw them afterwards. 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.. 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. 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 have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. A Shouldice Repair is usually done under local anaesthetic and conscious IV sedation making it an exceptionally safe procedure with virtually no complications. 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. Lot of disparity in the anecdotal evidence (my understanding has been that in at least once instance a patient was offered a days long recovery at Shouldice vs weeks long at a hospital, and that has been constant with my knowledge of their reputation in general). 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. Chronic groin pain after hernia repair is a concern, no question. Migration can happen . I applied to Shouldice and was refused surgery for my inguinal hernia. As for tension free vs not, as I said in my blog, standard of care for most institutions is tension free (ie using mesh). I still feel very comfortable with my decision to use the Shouldice clinic. And it really annoys surgeons, including me. 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? Most of us felt it was an efficient operation and we could see why they do things that way it was logical. Morrison said studies show 10-20 per cent of people are left with chronic pain. I find this mind boggling- this approach was abandoned in the rest of medicine decades ago. 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. For the first couple of weeks I stayed under the 10lb limit for lifting, now I tend to lift a bit more weight but still not very heavy weight. It is located in Toronto, Ontario, Canada north of Highway 401 on Bayview nearer . (LogOut/ In fact, the vast majority of hospitals would offer hernia repair. 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. In general looking forward to a day when performance stats for regulated professionals and their related clinics/practices will be available for scrutiny then we can all make decisions based on merit rather than hearsay or fuzzy notions of reputation etc. The Bassini repair, named after Dr. Edoardo Bassini who developed it in the 1880s, was the first efficient repair for inguinal hernia. But the patient should be made clear of the longstanding post-op, well documented issues of the real probability of chronic pain.