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I am not finished with this book yet, but i was set on going to toronto for the shouldice clinic, until this book revealed that they use stainless steel threads at shouldice
I have an old friend who got a hernia operation before mesh, in the 1970s, and they used dissolvable thread, so called cat gut and he's been fine ever since
So i called their international toll-free number, and sure enough, they use the stainless steel threads