Others who have had surgery at their local small hospital and everythings good. 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. But the patient should be made clear of the longstanding post-op, well documented issues of the real probability of chronic pain. No referral is required. Unlike most hospitals, delicious meals are prepared fresh in our dining room daily, providing the healthy nutrition you need to promote healing. We know that asking patients about their satisfaction with their care has nothing to do with the quality of care provided. They have been quite successful with it. Now as a confession of a conflict of interest here, I am a general surgeon who does lots ofhernia repairs at a hospital about an hours drive from the Shouldice. 3 weeks after surgery, I was starting to return to running, but still avoided lifting anything heavy. Shouldice Hospital is a great place to work. We never rush you through surgery and send you home the same day; thats very stressful for both patients and their families. At Tar, Cataract implants, joint implants, tubal ligation clips are all examples of other extremely safe foreign materials we implant in patients for their benefit. Bed manually adjustable by hand crank at foot of bed not comfortably or easily done post surgery. I have a large left inguinal hernia and am debating between Shouldice repair and Desarda Repair. The surgeon recommended TEP and from research that seemed to be the most likely not to cause chronic pain and based on the surgeons bio and reviews he seemed to specialize in laparoscopic. Very interesting. I think it depends on the surgeon involved and what your expectations are around the surgery. Understandably, patients like their surgeon to appear omniscient and surgeons rather like that, too (jokes about the God complex). In order to lose the proper amount hed need to eat saw dust and exercise. and a less wait time surgery would be quite worth it. Standard rubberized hospital bed and pillow. It is a small hospital dedicated only to hernia repair. Stop smoking for a least 2 weeks before your surgery. Would you go to a dentist or have any other surgicla procedure done without knowing a thing about the surgeon? 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. Migration can happen . I am debating on having surgery on my right inguinal hernia and whether to do it at Shouldice or at my local hospital. During the first week if I was too active Id feel soreness but with a few hrs rest it went away. After 3 months, 2 months with some insurance companies it is no longer considered a pre-existing condition. 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. I do not believe in the argument that the Shouldice doing so many repairs allows for more hernias to be repaired in our public system. Also, they dont just do simple hernia surgeries on skinny people. At the same time, it is clear that . Or it isnt the mesh itself so much as the insertion procedure? 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. Update of previous post. The example of my coworker is different. WOW. Shouldice also offers a variety of services to help you prepare for your hernia operation and improve your recovery. Have you or your staff followed up with all your patients? Based on my experience thus far, I would recommend Shouldice to those who are considering it. The Hospital was founded in 1945 and performs over 7000 hernia repair operations a year. Same in the US. Its certainly an interesting place. Anyone can look up what a surgeon in Ontario gets paid to fix a hernia. We regret that we cannot make reservations on your behalf. Im 27 and I have had three femoral hernia repairs in Nova Scotia, two open, and one (most recent) laparoscopic. Thanks for such a great blog, very helpful and interesting. I wonder if they know about him, or does he go into their success pile? Could you take a closer look at the Desarda technique and make some comments in the same way you did with the Shouldice techinique? Following this summers logging and landscape work I will report the status of all three repaired hernias. 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. The average North American is gaining 1-2 lbs per year, and obesity is a clear risk factor in hernia recurrence. Authors Anna Bradshaw 1 , Sarah Raphaelson. To the wife of the husband with the augurales hernia. He has no idea why or how it happened but didnt feel he really cared. Considered the same as Shouldice. Is this a factor? Other operators. Also, I find there is a lack of information on hernias in fertile women and how to treat. If that is the case, I would rather stay in NYC but I guess I will have to make the trip to find out. I had the left side done 11 yrs ago @ Shouldice and have had no issues with pain or recurrence and I dont avoid any activity, including heavy lifting. 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. We go to physicians expecting a solution to a problem, expecting, sometimes, an unreasonable outcome, expecting physicians to be more than human, expecting them to always do the right thing. 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?? Also billing data was used for the study, which is a notoriously inaccurate way to study surgical outcomes. My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. Im not a medical professional of any sort, but Im capable at measuring time the first two (father and neighbour), went to Shouldice and returned within 48 hours and their usual routines somewhat ecstatic about the result, and with no need to revisit the surgeries since. I had researched the different techniques and decided I would rather have small surface area non-magnetic stainless steel sutures vs a plastic mesh. Most of the arguments against Shouldice here seem to have very little to do with the actual technique, pain afterwards or recurrence (irritation, I thought, at the Southfork-like set-up and possibly also at their very existence fuelling endless questions like mine: is mesh a problem or isnt it? The Shouldice clinic admits patients the day BEFORE their surgery. .1st operation to save my life. 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. RobthinksIm going to Shouldice in 2 weeks. You see the full range of personalities there. This makes anyones numbers on hernia repair difficult to interpret, but the Shouldices number in particular should be viewed with a grain of salt. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . But I wonder if I will be told I need to have mesh after all. 5) Their procedure has a proven track record that has survived long after the hernia mesh repair became mainstream. The facilities are dated, the food horrible, and you may not get the surgeon that assesses you. 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. The short time before my surgery I couldnt find anything definitive saying mesh was good or bad. 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. shouldice clinic wait times. It seems to be the same, or slightly worse than the common open mesh repair. So five days in hospital must be better than no days in hospital, right? 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. Maybe if its a simple small hernia, Shouldice is a good choice, but otherwise, too clandestine for healthcare. The other day I split a bush cord of firewood and my shoulder was sore but not my groin. Tickets cost $4 and the journey takes 38 min. It was recently taken over by a private company and is no longer in the hands of the original Shouldice family. The fears of chronic pain and lack of research into Shouldices 99% effectiveness claim are overrated. I have just been chastised online for daring to criticize the Shouldice clinic on Twitter. The Shouldice Clinic is a private clinic operating in the Toronto area which has been open for decades. Here you will find current wait times for Niagara Health's Emergency Departments and Urgent Care Centres. I will miss the black squirrels. And so what if there are 15% recurrences with suturing methods! 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. Somehow he would be entitled to weeks of paid leave with the hospital option due to healing times for their style of treatment whereas with the Shouldice option hed be back at work in a few days. Laparoscopic and robotic inguinal hernia repair procedures performed by qualified . The repair is based on the Bassini repair with some modification. I went to see my family doctor as I live too far from Shouldice to visit. shouldice clinic wait times. I think I am going to stick with a repair by a general surgeon at my local hospital. 00%| | Expected . Yes, but it will fade with time and is overly visible except when naked. Given the heightened concerns with the transmissibility of COVID-19 and the pressures on our Emergency Departments, we ask that you consider your healthcare options before visiting the hospital for non-emergency concerns. It is supposed to be better than Shouldice. 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. The day after and two days after the operation I walked around the Shouldice property which helped with circulation 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. Shouldice also does not require a doctors referral to see patients and bill the Ontario health care system. The office staff takes care of business very nicely, very personable, walking you through every step of the way. Posted on September 8, 2011 by Ewen. The more you weigh and the more weight you gain after hernia repair, the more your risk of recurrence rises. The Shouldice clinic is a good example of that. All patients will be actively screened at the front door. I have seen these numbers elsewhere also. The 3 scars have pretty much healed up. From the group I saw (30 of us), virtually everyone was doing much better after the surgery.