One of Canada’s foremost authorities on hernia surgery is nestled in a quiet part of the health-care cupboard – on the southwestern Ontario shelf right beside where they keep the orthopedic experts.
You guessed it, Chatham-Kent.
In September, Dr. John Morrison will take over as president of the Canadian Hernia Society. His intent is to continue to get the word out that too many people live in chronic pain, or have complications following hernia surgery.
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With an estimated 80,000 people having such procedures in Canada each year, and about 20 million worldwide, the surgery is pretty common. All too common as well are complications from it, Morrison said.
Some hernias recur, and as many as 15% of people who have hernia surgery develop chronic pain as a complication, he said.
“Some hernias come back. We’ve managed with different repairs to reduce the number of recurrences, but in the process of reducing the number of people that get hernias again, the number of people that suffer from chronic pain after they have their hernia repaired has gone way up,” he said. “Some people – some young people – are left incapacitated. This is a serious problem.”
Morrison said the issues that develop are generally not due to the muscles healing poorly, but rather what is used to help the body heal.
“We think it’s because of the material we use to repair the hernia – it’s the mesh,” he said. “Some of these meshes, and the way they’re put in, we think are the cause of some of the problems that cause pain. Not all of it, but certainly since we’ve started to use these meshes, the number of people with pain has gone way up.”
In some cases, Morrison said, doctors have to operate and take the mesh out.
Morrison, who has more than three decades dealing with hernia patients, including about 25 years of repairing them laparoscopically, said hernias can occur for a variety of reasons, for instance developing as a result of the tissues not mending properly, whether it is from a surgical procedure or a naturally occurring phenomenon.
He stressed if someone suspects he or she has a hernia – and they are more prevalent in men than women – they should see a health-care professional.
“The best thing is to have a hernia fixed, unless there is another problem that makes it harder to fix – say they’ve got a bad heart,” he said, adding that in those cases, “unless it’s an emergency, you don’t fix it.”
There are different degrees of hernias. The big hernias occur in the people who’ve had previous operations. Morrison said up to 20% of people who develop such hernias suffer big time. “Sticking out like a football” is how he describes some he’s seen.
He said such large hernias generally occur from previous surgical procedures that just didn’t heal properly.
“And that usually occurs in about 20% of people,” Morrison said. “If they leave them when they develop after a surgery, they get bigger; they don’t get smaller.”
Ignoring a serious hernia can be life threatening.
“If you don’t get your hernia fixed, it can strangulate – the intestine can protrude through the abdominal wall to the point it starts to die,” he said. “It can happen in a small number of people. You’ve got a hernia there and the next thing you know, you’ve got a hell of a lot of pain and you’ve got to go into the hospital in the middle of the night to get it fixed.”
Morrison sees perhaps 200 hernia patients a year as part of his general surgery practice, some coming from as far away as Vancouver.
“But my thing now is basically hernias. The real tough ones. People that have had more than one. That’s what I do. That’s what I enjoy doing,” he said.
“If feel I’ve got the expertise to be able to help that person and I feel that the results they’re getting are as good as they’re going to get anywhere in the world. It gives me a bit of pleasure to see somebody fixed and back to doing the things they love –playing golf or out playing football – whatever they want to do – and they don’t get problems anymore. That gives me great satisfaction.”
Morrison began repairing hernias laparoscopically – using small incisions – in 1991 while working in Newfoundland. He came to Chatham three years later.
He said the procedure now is “purely several hours in the hospital for the most part,” Morrison said. “I send everybody home.”
That’s not the case everywhere. The Shouldice Centre for Hernia Repair in Toronto – a globally recognized hernia centre, keeps patients for up to three days.
“They have a whole program that they put people through,” he said.
Morrison said the prevalence of hernias has a real impact on our society.
“If you take into account the effect that hernias have on the economy, it is enormous. People don’t want to work. They’re off work for four or six weeks,” he said. “Think of 80,000 people off four to six weeks.”
Morrison said the average age of people suffering from a hernia is 50.
“A 50-year-old man, he’s in his prime at work, and he’s off for six weeks,”
He said he encourages people to go back to work as soon as they feel able, especially people with sedentary jobs. But they must work smart.
“If it hurts, don’t do it.”
For folks suffering with a hernia, or with complications following hernia surgery, Morrison said they should not feel isolated.
“It’s important that people realize they’re not alone in this. It’s not a serious disease. But it certainly can be a serious problem if you don’t get it looked after.”
Morrison’s expertise in the field has him recognized and respected around the globe. He said when he first began laparoscopic hernia repair, he taught the procedure to other doctors.
“When it was a brand new operation, I used to get invited to go here and there to show other surgeons how to do the operations.”
These days, he’s still spreading the word on proper hernia repair. Earlier this spring he presented at the 1st World Hernia Conference in Milan, Italy.
All that expertise operating out of Chatham-Kent. But Morrison realizes he’s not alone
“People here don’t realize the facilities they have here and the personnel they have here,” he said, pointing to the local orthopedic surgeons as being first rate. “The work the orthopedic boys do; they have patients coming from all over the place. We’re the place to do their hips and knees. That’s all they do and they are very good at it.”
Does Dr. Morrison remove inguinal mesh as well as abdominal mesh
I would like to get mine out still have lots of pain and I’m getting sick of the pain I rather have the pain I had before surgery
I have mesh in obturator foramen and pelvis from obturator hernia surgery in 1990. Caused chronic sciatic nerve injury. Now the mesh has migrated and am told it has to come out. Does Dr Morrison do this type of surgery?
To our knowledge, he does indeed, but you’d be best to contact his office.
Dr. Lemos at Mt. Sinai took my mesh out–he is a very impressive and kind doctor
If he removes the mesh what will he do to reinforce the wall? Stitches just isnt strong enough.
there are biologic meshes and fully absorbable meshes that absorb in full after 2-3 years.
How can I find a list of Surgeons in Canada who perform no mesh inguinal hernia surgery?
i had a Inguinal Surgery in the groin,approx 14 years ago,lately if as been giving me unbearable pain an discomfort.Do anyone know if if this mesh can be removed or do I have to live with the consequence.
My name is Camillo Del Pellaro and to date I’ve had two groin hernias repaired and am about to get a third just above my belly button.
I had my first hernia repaired at 14 using natural tissue, which left a decent scar.
I had my second groin hernia repair done at aged 27 by a Board Certified Plastic Surgeon using mesh, which left almost no scar.
Over a decade later and I have now developed a small hernia just above my belly button. Compared to my first two operations I hope this one is a cake walk as my intestines didn’t spill poke through the wall yet.
I’m very athlete and was asked to lose 50 lbs by Shouldice Clinic. This is impossible as I already have a lean body composition. I did manage to lose about 25-28lbs. After reading this article I am tempted to cancel my June 21 operation to look into a laparoscopic operation in Chatham Kent.
I can imagine the wait time if I cancelled. It’s almost better getting it done in Thailand or Argentina for a fraction of the price.
Hello Author Bruce!
Do you have an email address for Dr Morrison
Apparently he has retired so I’m interested in finding younger doctors trained by him
Thanks so much for your wisdom
I do not. I interviewed him in his office on Victoria Avenue in Chatham. That’s all I know, sorry.
Thanks for writing regarding hernia mesh issues! The hernia repair I had done more just about a decade ago has been nothing but a NIGHTMARE!
It has to be removed. My life has been so restricted as I’m in such discomfort.
Can you please advise me how I can get further info.
I choose not to continue living in chronic pain.
Dr. Morrison has since retired, unfortunately.
Can anyone tell me surgeons who are still doing hernia repairs without mesh?
Look into any of the surgeons at the Shouldice Clinic in Toronto, they perform non mesh hernia repair.
Is there an replacement dr for dr john Morrison ? He was my old surgeon .
Any doctor in Canada who do mesh removal. I am in pain and discomfort form past 5 years