Hernia Surgery Glen Waverley
Understanding Hernias
For many people, a hernia begins as a subtle lump or pressure in the groin or abdomen. Still, it can progress to ongoing discomfort or concern, especially when lifting heavy objects, coughing, or straining.
Some hernias may remain manageable for a time, but others can progress to cause persistent pain or, in severe cases, become life-threatening if ignored.
Dr Roshan Ariyaratnam, a general surgeon with extensive knowledge in complex hernia repair, is frequently sought for revision surgeries and challenging hernia cases.
Causes of Hernias
A hernia forms when internal tissue pushes through weakened abdominal muscles, creating a visible bulge around the groin, navel, or surgical scar. Some hernias are present from birth due to muscle weakness, while others develop later from ongoing strain, heavy lifting, or chronic coughing.
Symptoms of Hernias
Hernia symptoms can vary from person to person. In many cases, a noticeable lump appears that can be tender or become more painful when lifting or straining. Additional symptoms may include:
- A sensation of heaviness or dragging in the affected area
- A feeling of pressure or fullness
- A feeling of unease or soreness
- Swelling
- Pain where the lump is located
- Pain that worsens during physical exertion or lifting
- A noticeable burning or tingling sensation near the lump
Since hernias usually worsen with time and carry risks if left unaddressed, most surgeons recommend surgical repair.
Types of Hernia
Surgeons commonly classify abdominal wall hernias into three primary categories:
Umbilical Hernia
What it is: An umbilical hernia occurs when tissue near the navel (belly button, or umbilicus) protrudes through the abdominal wall muscles.
Common symptoms: Swelling or pain near the umbilicus, often becoming more obvious when standing, coughing, or lifting.
Treatment options: Even a small umbilical hernia can pose risks if left untreated, as strangulation may occur. Surgery remains the only permanent repair option.
Groin Hernia
What it is: Occurring when tissue breaks through the lower abdominal wall, a groin hernia can extend into the groin or upper thigh. Inguinal hernias are most common, though women are more prone to developing femoral hernias.
Common symptoms: Discomfort, heaviness, or swelling in the groin area, which can increase with activity or strain. Some hernias, particularly in women, may cause pain even without a lump.
Treatment options: If your groin hernia is not uncomfortable, you may be able to watch and wait to see how it progresses. Typically, a groin hernia becomes symptomatic after one to two years. At this point, doctors typically recommend hernia surgery as it may assist with reducing symptoms like constipation and urinary difficulties.
Ventral Hernia
What it is: A ventral hernia is a weakness in the abdominal wall where tissue pushes through. Types include incisional hernia (at a previous incision site), epigastric hernia (above the navel), and the less common spigelian hernia (between muscle layers).
Common symptoms: Pain, pressure, and a visible bulge in the abdominal area that becomes more prominent when coughing or straining.
Treatment options: Small, symptom-free ventral hernias can often be watched over time, though surgery is usually suggested once pain or enlargement develops.
Hernia Surgery With Dr Roshan Ariyaratnam
With broad experience in open and laparoscopic hernia repair, Dr Roshan Ariyaratnam offers individualised care to patients throughout Glen Waverley, using advanced surgical methods focused on patient wellbeing and results.
After receiving your referral, his process includes:
- Initial consultation: A detailed examination to confirm the hernia and outline the pros and cons of different treatment approaches.
- Hernia repair surgery: Carried out with either open or laparoscopic approaches, depending on the hernia type.
- Recovery and follow-up: Offering tailored guidance on when and how to safely resume exercise or heavy activity post-surgery.
Dr Roshan Ariyaratnam is widely regarded by peers for his work in complex hernia repair and abdominal wall reconstruction, with many surgeons across Glen Waverley referring patients to his care.
Mesh and Your Hernia Repair
Most hernia repairs today use non-absorbable mesh to strengthen the abdominal wall and reduce the likelihood of the hernia recurring. While small hernias with minimal symptoms may sometimes be managed with ‘watchful waiting’ or non-mesh tissue repair, mesh reinforcement is considered the gold standard for most inguinal and ventral hernias.
Mesh is tightly regulated in Australia by the TGA and supported by the ANZ Hernia Society. Though complications are rare, they may occur with both mesh and non-mesh repairs; however, mesh repairs generally have lower recurrence rates. Dr Roshan Ariyaratnam will discuss the advantages, disadvantages, and your individual circumstances so you can make an informed decision.
Robotic Hernia Surgery
Robotic hernia surgery is the next evolution in minimally invasive hernia repair, combining the precision of advanced robotic technology with the expertise of a specialist hernia surgeon. Using the da Vinci Xi surgical platform, Dr Roshan Ariyaratnam performs robotic procedures that allow greater accuracy, smaller incisions, and faster recovery compared with traditional open or standard laparoscopic repair.
This technique offers significant benefits for complex or recurrent hernias, including ventral, incisional, and inguinal cases. Enhanced 3D imaging, tremor control, and wrist-like instrument motion provide exceptional precision during intricate steps such as component separation and mesh placement.
The main potential benefits of robotic hernia surgery include:
- Minimal scarring and less discomfort after surgery
- Decreased risk of surgical site complications and infections
- Speedier return to everyday tasks and professional duties
- Enhanced control and precision for complex abdominal wall procedures
- Reliable, high-quality results even in complex or previously repaired hernias
Robotic hernia repair with Dr Ariyaratnam is available at Knox Private Hospital and Epworth Freemasons, where each procedure is customised to suit the patient’s anatomy, surgical history, and lifestyle.
Are you ready to take the next step toward relieving your hernia-related discomfort?
Your Hernia Surgery Glen Waverley Questions Answered
Do all hernias need surgery?
Because hernias are unable to repair themselves naturally, surgery is usually required to prevent further enlargement or serious issues like strangulation. Mesh reinforcement is commonly used to support the area and minimise recurrence, and Dr Roshan Ariyaratnam will explain the best option for your specific needs.
own. This means that hernia surgery is recommended in an effort to prevent enlargement, complications, and the chance of developing a strangulated hernia. In many cases, mesh is used to reinforce the hernia repair and reduce the chances of it returning. Dr Roshan Ariyaratnam will discuss whether mesh or non-mesh repair may be most appropriate for your hernia.
What is the difference between open hernia repair and laparoscopic hernia repair?
An open hernia repair is done through a single incision above the hernia, while laparoscopic repair involves small keyhole incisions and a camera for internal viewing. Both restore the abdominal wall, but laparoscopic surgery can enable a speedier return to normal activity.
What is complex hernia surgery?
This type of procedure focuses on rebuilding the abdominal wall in cases of large or recurrent hernias. It typically includes repairing connective tissue, improving circulation, and strengthening the area with mesh reinforcement, such as an inguinal mesh plug.
How long is the recovery after hernia surgery?
This depends on the type of surgery you had. As laparoscopic hernia repair is a minimally invasive surgery, most patients go home the same day or the next day. After this, light walking is typically encouraged, but more strenuous activity should be avoided until cleared by your surgeon. Recovery from open hernia repair generally takes several weeks longer than laparoscopic techniques. Regardless of the type of surgery you had, Dr Roshan Ariyaratnam will advise you on when you can return to your usual activities.
What areas do you service?
Knox Private Hospital and Forest Hill Medical and Dental Centre are easily accessible to patients in:
Why Dr Roshan Ariyaratnam?
Specialist in Complex Hernia Repair
With broad experience in both open and laparoscopic surgery, Dr Roshan Ariyaratnam is skilled in complex hernia repair and abdominal wall reconstruction.
Rapid Access
Most referrals are processed quickly, with appointments usually available within one week and seamless coordination between your GP and the surgical team.
Convenient Access
Consultations with Dr Roshan Ariyaratnam are available across multiple Victoria locations giving patients the convenience of choosing their preferred location.
Book Your Hernia Consultation Today
If you’re experiencing a lump, discomfort, or other signs of a hernia, help is available nearby. Dr Roshan Ariyaratnam provides advanced hernia repair from several convenient locations across Victoria.
Don’t let hernia pain or discomfort affect your daily life; arrange a consultation today to discuss your treatment options.