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. I also saw the ambulance chasing lawyer ads in the US regarding mesh failures. 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. View Map. Im about 2hrs from Shouldice. Have no perceptible issues with umbilical repair but under strain do feel some discomfort at the lower end of inguinal repair. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. It was originally founded during World War 2 to allow for young men to have their hernias repaired before going off to fight. Its location is the former estate of George McCullagh, a publisher who created The Globe and Mail newspaper in 1936. 14 Weeks with mesh. Youll be able to walk out of the operating room and, by the next morning, youll start a well-structured and supervised exercise routine. I also have not had good outcomes with the medical community. I believe every patient has to make their own decision. 1. shouldice offers reliable hernia repairs, with few relapses. The cost of more comprehensive programs is covered by most insurance plans. That is an important distinction. Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. This is why they went to Shouldice in the first place, in the Toronto area it has a kind of mythical acclaim. Thank you for your knowledge and insights re hernia repairs. Various proposals are set forth for expanding the capacity of the hospital. It was then allowed special licence by the Ministry of Health to continue operating. Hard to be critical regarding matters of efficiency without data descends into rhetoric pretty quickly. I will continue to recommend the Shouldice and feel it was the right choice for me. Shouldice.com A pioneer among for-profit surgery clinics in Canada has been sold to a private health corporation for $14-million, ending a family-owned dynasty that played a unique role in the. Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? He worked at Shouldice for about a year and did several hundred Shouldice repairs. Shouldice effectively skims off elective procedures in a very healthy, wealthy, and slimsegment of the population that is extremely motivated to get their hernias repaired atthis private clinic. On top of that, the hernia still exists, larger and more painful than ever. Staff is helpful but not pleasant or friendly. 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. 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. 6) People continually come from all over the world to have their hernias repaired at Shouldice. ?Does this matter? 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. I have had a similar issue with the mesh (surgery May 2017) and tried a nerve block. They have permanent audit staff and know their outcome details. Any tips? shouldice clinic wait times. Here is a run down of my thoughts. The wait times were significantly higher than normal. It is a small hospital dedicated only to hernia repair. At the mid point of the second week, I had searing, stabbing pain at the surgery site. Our first available appointment is in July of 2023. My luck, the guy was a heavy sleeper and snored all night which means I could not get that much sleep during my stay. Migration can happen . The biggest problem with the Shouldice hospital is you cannot choose your surgeon and like anywhere there are good ones and bad ones. Look for nih data. Placed in a room with patient who had surgery the day prior. 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. I went to see my family doctor as I live too far from Shouldice to visit. The last one before going there was a laproscopic surgery done by a cocky 40-something that failed before he even left the hospital & then turned into a fistuala which the surgeon was in denial about for months & could have killed him. Sonesta Suites355 South Park Road, Thornhill, ON L3T 7W21-800-SONESTA1-800-766-3782. I find this mind boggling- this approach was abandoned in the rest of medicine decades ago. 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. My Aunt diagnosed with Hernia disease recently. I would love to see their numbers as well, but that is unlikely to happen soon. 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. Hi Tyler. 2. shouldice offers low cost. My biggest concern with the Shouldice clinic is that you might get a very experienced surgeon, or you might get a surgeon that is quite inexperienced (relative to the rest of the staff). He did get a cyst in his rear about 2 1/2 years ago, the surgeon offered to take a look. Unlike most hospitals, delicious meals are prepared fresh in our dining room daily, providing the healthy nutrition you need to promote healing. WTF was that?. I havent made the decision yet myself, Shouldice or mesh. That is simply how medical innovation for medical products in our capitalist society works. I got a colleague to do it, with mesh, and a general anesthetic, as day surgery, in one of our local hospitals. Tell me about it..I had an accident at work. I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. The 3 scars have pretty much healed up. So Im going to outline some of my problems with the Shouldice clinic, which is held up around the world as a great Canadian healthcare success story. I briefly looked at the website, and I would have the same concerns as with the Shouldice, namely that recurrence rates for hernia repairs without mesh would be unacceptably high unless in a highly selected (skinny) population in North America. My personal experience is that my husband moved a piano for me 20 years ago. 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. In fact, after asking permission and explaining the purpose, they live-streamed my operation to a Surgeons conference in Victoria, BC. In fact, I believe in less than a decade the medical profession will be inundated with increasing problems from meshes installed in patients 20+ years pervious and will be forced to go back to training their surgeons to the standard they were at pre-1990s, before mesh became mainstream, when hernias were repaired the way they should still be getting repaired today suturing. According to another surgeon I saw mesh isnt likely to cause all of the issues it does in other portions of the body (erosion mainly) and said in his experience 1 year isnt that uncommon to feel mostly back to normal. Dr. Yunis and staff accommodated my physical disability, handicap. Founded in 1945, Shouldice Hospital is the world's leading centre of excellence in abdominal wall hernia repair. I went for consultation at Shouldice in October 2013 for consultation regarding an umbilical hernia repair. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . 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. At this stage I cannot guage the quality or durability of the underlying repair. Straight out of a horror film, dim, blinky lights, cold and overall not very reassuring. 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 huge incision ripped internally and of course I wanted to choose the BE ST surgery clinic to repair it so it would not happen again. Is my scar larger than it could have been with a mesh repair? I can accept that this is work that should perhaps be compensated at a different level because of its extra demands. I agree that the beds are uncomfortable and some of their routine seems a bit military and dated, but I was very confident in their abilities and a few days of discomfort at a hospital is nothing compared to the long term results. 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. It was then allowed special licence by the Ministry of Health to continue operating. I understand that they likely inflate their success rates by choosing ideal patients, but I do not have the technical skills to actually evaluate the efficacy of the proposed mechanism of repair. Just want to make a correction: they dont provide private rooms, but cramp you in a room with another person. There are some awful stories out there. They give you good care. Bus operators. Shouldice Inguinal Hernia Repair Post-op Instructions Surgery You have just undergone surgery to repair an inguinal hernia. It seems you did your research thoroughly and are maybe one of the unfortunate ones. Procedure Monday to Friday - 6:00 pm to 8:00 pm Saturday & Sunday - 10:00 am to 5:00 pm. 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. It smacks of the sort of paranoid anti-science conspiracy theory sentiment which we are seeing rise around other health issues such as vaccinations and water fluoridation. 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.. I am comfortable going to Shouldice as they do screen patients to prevent hospital secondary infections, I was able to get specialized care and not take up a bed or OR in a general hospital and they were able to take me in 3 weeks rather than the 200+ day wait in my home town. They say Im an unusual case, but 2 years after having an inguinal hernia repaired at Shouldice I am still suffering from nerves entangled in scar tissue. TORONTO Shouldice Clinic Hernia Repair - August 2020 2,289 views Oct 22, 2020 27 Dislike Share Save Herve Del Norte 542 subscribers I provide a summary of my recent hernia repair surgery at the. Other operators. 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? DO NOT EAT OR DRINK ANYTHING, including water, after midnight the night before the procedure unless instructed otherwise by your surgeon. 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?) Ill lift 100+ pounds while working around the house without thinking about it. So do you feel that in my case atleast, it might be worth giving Shouldice a first shot or is their antiquated technique simply not worth it as the hernia will in all likelihood recur and then mesh would be the only way to go? I am not going to comment on specific cases, just generalities here. We offer a complete and holistic recovery program that promotes healing and a rapid return to normal activities. may be involved. Also, you didnt say if your two hernias were repaired laproscopically or open. They told me they were being charged much less at Shouldice than they would have paid out of insurance in the US. (As does everyone). They weigh the risk to both. For personal comparisons I am a 50+ year old male in average/above average health. However, these hotels have NOT been inspected by the Shouldice Hospital staff. Can I please get the name of the hospital an hours drive from Shouldice and your name if possible? Toronto Transit operates a bus from Yonge St at Dundas St East to Steeles Ave East Loop every 30 minutes. Some of the patients will already have been through the operation and will be happy to offer reassurance and support. It doesnt matter what method you have these days the recurrence rates are all about the same,low. 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. 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. To ensure the safety of our employees and patients, do not come to the Clinic if you are feeling unwell, have any COVID-19 symptoms, or have come into contact with anyone suspected of having COVID-19. I agree with Toronto that it is hard to find any real data on the Shouldice clinic. If you dont have a very classic bulging abdominal or groin hernia, they are not going to operate. Normally, there is no extra charge for semi-private rooms if youre covered by OHIP. I had a double inguinal done at Shouldice 10 weeks ago and was in a fair bit of discomfort for the first 8 weeks but am feeling much better now and am thankful I have no mesh to disrupt things down the road. However there is more to it. Laparoscopic repairs are reported to have the lowest occurrence of chronic pain in the papers that I read. Shouldice also does not require a doctors referral to see patients and bill the Ontario health care system. York Region Transit. 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). It may be in part an attempt to keep a surgeon ratings list from being established, as patients are not allowed to pick a surgeon. Best. The Shouldice Hospital in Thornhill, Ont., is world renowned for its treatment of hernias. That is frustrating for you. This wound closure and stapling technique are a significant source of discomfort and pain for all patients. Length of stay is ridiculous not to mention the Bill for said stay My experience was extremely positive and I would not hesitate to return there. I have contacted the operating hospital who caused the issue and theyve decided they do not want to assist in the issue any further. I have had one for four years and besides some soreness at the end of the day, I am not in constant terrible pain. 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. It is almost impossible for a hernia to recur through a piece of mesh. 7750 Bayview Avenue, Thornhill, Ontario. Shouldice - The best no mesh hernia repair for inguinal hernia. Your hernia will need to be fixed, no question. The day after and two days after the operation I walked around the Shouldice property which helped with circulation and recovery. Thanks for sharing your positive experience Kram.
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