MeSH terms Adolescent Adult Age Factors Secondly, I have not heard of desarda method. Staff is helpful but not pleasant or friendly. I have put off surgery for four years because of concerns with mesh. I wonder if they know about him, or does he go into their success pile? I had little to no pain 4 days after the surgery, and other than a small scar, my groin has been perfect. When I went for my pre-op. Have had it checked and been informed that it is not at the point where a repair is required. I have heard of one fellow returning to the gym and heavy squats within 2 months of his op which DOES seem to be tempting fate, so some patients may not be helping themselves. 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. Another confession, I alsomake money doing hernia repairs, but I dont make nearly as much as the Shouldice does off their patients. 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. No my Dr was not willing to help much other than referring me to pain management which doesnt help solve the underlying issue and seemed baffled that these issues were continuing. Answer: Yes, but I was at the higher end of the range and one other fellow in our intake was even worse. Personally, put in a holding pattern until surgery in the afternoon. I would say you will very likely be fine, I wouldnt worry about your decision at this point. More and more often, hes having flare ups where the blood supply to his groin is being blocked. 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. The average North American is gaining 1-2 lbs per year, and obesity is a clear risk factor in hernia recurrence. Indeed, expansion of Shouldice's facilties seems a far better alternative than asking patients to wait. In the Shouldice clinic, the average time off work after repair is 8 days, and 4 weeks is the maximum time patients are authorized to return to heavy labor. We have a full range of activities in addition to organized exercise, to make recovery enjoyable, including billiards, shuffleboard and a putting green. Various proposals are set forth for expanding the capacity of the hospital. The food was good. Did I have any discomfort during recovery? The rate of this risk varies, you say it is low, but the risk exists. In a socialized model of healthcare, allowing some hospitals and surgeons to absolve themselves of this emergency work is unfair and leads to their claiming to have better outcomes. So far no issues at all from the surgery or related to the reasons for the surgery. Hi. 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. So this is a tricky situation. No public hospital in Ontario would be keeping groin hernia repair patients in hospital overnight without some underlying compelling reason. 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. Most general surgeons will tell you that they cannot get patients to lose weight before surgery, and that has certainly been my experience. 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? The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. The fears of chronic pain and lack of research into Shouldices 99% effectiveness claim are overrated. It is virtually impossible to find any real data on Shouldice. Thirty five is a fair number if done completely by the surgeon in question I would think. I had an inguinal hernia repair at Shouldice 4 days ago. We all want the best, most cost effective public system but critiques must look at the whole system. I decided to wait and get the surgery at the Shouldice clinic, done by an experienced Shouldice-trained surgeon. Does it annoy surgeons that many many *easy* abortions are done in clinics rather than hospitals? There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. 10 Royal Orchard Blvd, Thornhill, ON L3T 3C3 Get directions. The staff were unfailingly courteous, even when under all-out attack by the annoying. Of course, that is difficult work which the shouldice is not interested in. The place is charming. Lastly, I really feel strongly that clinics and surgeons which do not do emergency on call work should not be allowed to operate on an elective basis. Shouldice - The best no mesh hernia repair for inguinal hernia. I play sports 3 days a week, I run competitively, etc, and virtually no pain. 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. Thanks for sharing your experience, Kram. Walk-In Clinic: Mon-Fri 9:30am-3pm Patients may experience long wait times in the walk-in clinic, complete online medical questionnaire instead of coming to clinic: . 905-695-4967 * smahdavi@shouldice.com Cindy Giroux - Business Development Manager 905-695-4908 * cgiroux@shouldice.com: In any case my husbands case is exactly the kind of many complicationes hernia that you are talking about although all his many failed hernias and the fistula repair that involved having a large part of his bowl removed were done at major hospitals. I am a 36 year old female (very slim and healthy) and hoping to start a family in the near future. Shouldice refused to accommodate my disability. WTF was that?. Show More. Ill take my chances with mesh next time all day long. A tearing feeling (like being stabbed) from bowel movements is prevalent; on the positive side, I had my first pain free sneeze this morning. As a specialist, I am not allowed tobill OHIP to seepatients without a referral from another doctor, and so we see the double standard growing. 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. Pick a curve, any curve (say, the red one). I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. Is it because they make lots of money off the patients and the taxpayers? 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). Visitors will not be permitted in the patient rooms. I would have to see why, based on outcomes & diversity of treatments required, doctors/surgeons should have common requirements for their practice. (Wait time "explodes" the closer utilization gets to 100%! As for speed, I think they say it takes around 30 minutes to do the surgery, and they have a short wait list. There is nothing spectacular about this facility. We have a big number here, dont you think? They do not deserve the reputation they have. I would even love to go there and observe their technique, but they are not in the business of educating surgeons, just skimming off our business. I will stop by here at the 6 month point to provide another update. Which method is the best option considering I want to get pregnant? I had my surgery done at Soldice 5 days ago. All three were done by general surgeons, and I can honestly say I would have been better off not getting any surgeries from the beginning. Do your homework and make an informed decisiongood luck. C. She asked me to monitor for fever and other signs of infection and to wait a few more days. That may sound expensive to people from Canada or anywhere else with a cost effective health care system, but keep in mind that health care in the USA is extraordinarily expensive. If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. Standard and mandatory wake up is 0530 for all. Inguinal surgery 4 days ago at Shouldice performed by surgeon with 10,000+ hernia surgeries performed. The question of the morality of rich families being able to afford private schools, hence their children receiving a higher quality of education is not likely to lay heavily on the mind of any concerned, least of all the children. And Shouldice does screen patients to make sure they have an appropriate BMI and are setup for long term success. I dont think it has been around that long. ?Does this matter? Yes, but it will fade with time and is overly visible except when naked. The trouble is he can barely walk with this baby between his legs. Kyle, I have a hernia (incisional/abdominal) that needs to be repaired, with several other smaller hernias, however, my visit to the Shouldice sent me searching for the right General Surgeon instead. While my knowledge of Shouldice is not direct, it is close to home, and entirely contrary to what you have said. From studies (which are few and far between), they both apparently have the same amount of chronic pain sufferers. 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. Hilton Garden Inn300 Commerce Valley DriveThornhill, ON L3T 7X3905-709-60083 miles from the hospitalTo receive a 10% discounted Shouldice rate click here. So one last confession. Besides the fact that it looks weird, my only concern is that given that Im only 42, the hernia is just going to get worse better to repair the pothole now than to wait for an emergency in the future. Shouldice specializes in this unique approach to hernia repair. Shouldice would take me again, the surgeon Im scheduled with said ideal patient, all these things mean is low risk for the actual surgery, doesnt mean itll work or not give you issues down the road. By the time my son was 10 and we moved to Peterborough his hernia was the size of a pineapple infact it looked like he had a bag in his pants! I also read that portion with more issues with smaller females, which worried me as Im only 53 and 117 lbs. The biggest problem with the Shouldice hospital is you cannot choose your surgeon and like anywhere there are good ones and bad ones. Are hernias covered by OHIP? Here, you can leave your busy schedule behind and enjoy a restful and relaxing recovery in fact, many people compare it to visiting a beautiful resort. Often times it is our expectations that get us in trouble. Under carefully managed routines, most of our patients are back to normal activities in less than a week and often back to work as soon as they are discharged.
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