The issue is really about the size of the facial defect vs the risk of recurrence with and without mesh. I have contacted the operating hospital who caused the issue and theyve decided they do not want to assist in the issue any further. In fact, one would expect Shouldice to have better outcomes as they select patients who are at lower risk for recurrence before the surgery. However, it is also undeniable that the chance of a hernia recurring over time is reduced when mesh is utilized appropriately and on the right patient. Shouldice hospital - a cut above - Homework Crew 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. My room mate (who had 10) yelped a few times, but he didnt strike me as a complainer. Update from my initial posts: Its coming up on two years (mid-Sep 17) since I had my right side inguinal hernia done by Dr Lisi in Collingwood G&M Hospital using laparoscopic surgery and mesh. Its not hard to understand whats happening here. 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. If I could go back Id take my chances on reoccurance hands down. You can travel with a hernia as long as its been 3 months since you were seen for it. It is a small hospital dedicated only to hernia repair. I just had my inguinal hernia repaired at Shouldice. Thanks for your comments. So even when you think you have done your homework on the surgeon get another opinion. Shouldice refused to accommodate my disability. It seems to be the same, or slightly worse than the common open mesh repair. Pioneering for-profit Shouldice hernia clinic sold for $14-million Shouldice Repair of Inguinal Hernia | SpringerLink That is frustrating for you. The benefits of mesh far outweigh the risks for the vast majority of adult hernia patients. The body can react to a foreign body (Plastic) Mine also is touching the nerves that run in that area. Has mesh been inside anyone for 40-50 years? Too risky. For personal comparisons I am a 50+ year old male in average/above average health. "In 2018, I found Dr. Samer Sbayi online. Our specially trained surgical teams perform over 7, 000 hernia repairs every year, with an unparalleled track record . 0. Discomfort for 3-4 days but quite tolerable. He has no idea why or how it happened but didnt feel he really cared. The general surgeon I seen advised 6 weeks. Our clinic offers hernia examinations by appointment or on a limited walk-in basis. That is simply how medical innovation for medical products in our capitalist society works. This makes any numbers they publish about their recurrence rates completely out of touch with the reality of what myself and other general surgeons are dealing with in our practices. There are some awful stories out there. It you want a manicure, a pedicure, an espresso in the pre op room and general pampering go to a Beverly Hills clinic; This place is all about a lasting repair at a reasonable price (my bill was much less than the initial quote) with minimal fuss, and, critically, NO MESH. Shouldice Hospital Limited - Case - Harvard Business School may be involved. It has lots of windows and a bunch of couches and chairs to relax in, a television and plenty of magazines and newspapers to flip thorough. 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. Or that you are cynically making a play for a vast damages pay out. I have a rather large incisional hernia and am considering a trip to Shouldice. Our first available appointment is in July of 2023. Hi Tyler. No Mesh Hernia Surgery - Why not Shouldice Ive tried to get surgery twice. Shouldice of course sends most of the patients it sees back to where they came from, and does not have to worry about complications or ongoing issues from their repairs. Customer Wait Times - 6 Strategies to Manage Waiting Customers Update been 8 months out and little to no change in the pain and other complications. That would depend on what age the first repair was done, the time since the first repair, and the BMI and other health factors (such as smoking) of the patient with the recurrence. The vast majority will accept the surgeons advice and do not seek out second opinions or options for their surgery. My concern is with the use of mesh on a growing teenage boy. Visitors will not be permitted in the patient rooms. I did that search, and Im not sure if I saw exactly what you saw, but yes even though Shouldice method (performed at the Shouldice hospital specifically) has a very low recurrence rate, certainly mesh will have the lowest recurrence rate. Thanks for your comments. Mesh CAN be a nightmare if not inserted properly, and maybe I would be able to get away with not using in a very slim patient, but I consent patients thoroughly to all the risk factors. 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. Overall, I am pleased with both the experience and the outcome. The other thing about hernia repairs is that recurrence rates have always been very hard to measure. I would encourage you to have your father see his family doctor to refer to the hospital and surgeon which are closest to you. 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. 2015 surgeries (inguinal, umbilical) performed at local Ottawa hospital by general surgeon, with some specialization in hernia repair. Shouldice Hospital is a bit of curious place. 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. There is absolutely no risk involved, just a requirement for the patient to wear an orthosis. We were guests at the Shouldice Hospital last year. The "first" reduction in Tq is much greater!) Where did you end up going ? The Shouldice clinic charges patients for a private room for up to 5 days (this adds up to many hundreds of dollars). I feel like patient quality of outcome should be the deciding factor, not just whether the original hernia was handled. SHOULDICE HOSPITAL CLINIC DETAILS 7750 Bayview Avenue, Thornhill, Ontario. I dont know what the exact policy is on inpatient stay at Shouldice, the website said at least one day pre op, and an unspecified number post op. 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?) If I was doing only one operation, the only thing I would be is bored. 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. Is my scar larger than it could have been with a mesh repair? The Shouldice then also bills the Ministry of Health for each inpatient day a patient stays overnight. We now have detailed records on more than 400,000 patients and maintain one of the most comprehensive database on hernia repair in the world. I would also, I hope, be getting angry calls from our hospitals administrators asking what the hell I was doing keeping patients in hospital for so long after such a simple procedure. No-show patients cost around $200 per unused time slot, and the average no-show rate for most U.S. practices hovers around 20%. Which method is the best option considering I want to get pregnant? They will also arrange regular phone meetings to offer advice and support so that you can commit to a healthier lifestyle and prepare your body for a successful hernia repair. I had my first one done at Shouldice (10 yrs ago) and no issues with it unless I do a lot of hiking or lifting and then maybe a bit of soreness in the left groin. It was named after E.E. I cant get a job people think Im pregnant or will need a leave of absence. I dont know where you got your information that the Shouldice doesnt use mesh but this is incorrect. J. Surg. They told me they were being charged much less at Shouldice than they would have paid out of insurance in the US. I dont want to come off too confrontational but I am going to be blunt. I am now 4+ months postop and have chronic pain and the surgeon just looked at me dumbfounded and surprised at my last appoimtment. When you come to our clinic for an examination, Shouldice staff will welcome you and arrange for a personal consultation with one of our experienced hernia surgeons. Yes, but it was over quickly, and I felt my recovery was extremely successful with minimal time off work. The limited walk-in spaces are available on a first-come, first-served basis. Hiatal Hernia and Anti-Reflux Surgery | LHSC This should be broken down into smaller samples to isolate by type of procedure or severity. It doesnt matter what method you have these days the recurrence rates are all about the same,low. Since 1945, we have been gathering data from our follow-up examinations. The expertise of Shouldice seems hopeful and promising, and Im out of alternatives. Shouldice Inguinal Hernia Repair Post-op Instructions Surgery You have just undergone surgery to repair an inguinal hernia. I think is a matter of profit from this industry. 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. Cataract implants, joint implants, tubal ligation clips are all examples of other extremely safe foreign materials we implant in patients for their benefit. Migration can happen . If you are unable to submit this document in advance, you will be asked to complete it upon arrival at the clinic. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The problem with Shouldice or The most dangerous phrase in the English language- Weve always done it thisway., http://www.ncbi.nlm.nih.gov/m/pubmed/15243743/, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727805/, https://www.ncbi.nlm.nih.gov/pubmed/10452261, http://www.ctvnews.ca/health/growing-concerns-in-canada-over-surgical-mesh-usage-recalls-1.3372733. Certainly not brochure material. Our registered dietitian will develop a personalized weight loss program for you and show you how to make healthy food and exercise choices. Surely theres an advantage to exclusive, specialized hernia repairs that general surgery wouldnt necessarily encompass? Often times we do not own up to our own responsibility in the situation. When you say walnut size that may mean the size of the sac which can and often is larger than the actual hernia itself. 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?