Hernia Surgery Altona
Comprehensive hernia treatment with a Altona general surgeon experienced in handling complex hernia cases.
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.
With advanced experience in complex hernia repair, Dr Roshan Ariyaratnam is often trusted by peers for intricate cases, revision procedures, and referrals.
Causes of Hernias
A hernia happens when abdominal contents push through the abdominal wall, often creating a lump or bulge in the groin area, belly button, or at the site of a previous incision. For some, hernias occur because of a natural weakness in the abdominal muscles and may be present at birth. For others, they develop over time due to strain from lifting heavy objects, chronic coughing, or difficulty with bowel movements.
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 heavy or uncomfortable dragging sensation
- Noticeable pressure in the affected area
- A feeling of unease or soreness
- Visible or tender swelling
- Pain where the lump is located
- Pain that worsens during physical exertion or lifting
- A warm or burning sensation around the hernia site
As hernias often grow larger and may lead to complications, surgical repair is generally advised to restore strength to the abdominal wall.
Types of Hernia
Abdominal wall hernias are generally grouped into three main types:

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: A noticeable lump, discomfort, or pressure around the belly button that worsens with coughing or physical effort.
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: This type of hernia happens when abdominal tissue bulges through a weak spot in the lower abdomen, often extending into the groin or upper thigh. The inguinal hernia is most common, while femoral hernias tend to occur more often in women.
Common symptoms: Pain, pressure, and a bulge in the groin area that becomes more visible when coughing or straining. However, not all groin hernias cause a lump, and in women, they may present only with pain or discomfort.
Treatment options: You may be able to monitor a painless groin hernia initially, but most become bothersome over time. When symptoms like pressure, constipation, or urinary issues develop, surgery is generally recommended.

Ventral Hernia
What it is: This type of hernia occurs when tissue pushes through weakened abdominal muscles, often near a surgical scar (incisional), above the belly button (epigastric), or between muscle layers (spigelian).
Common symptoms: Swelling, pressure, or pain in the abdominal region, often more obvious during movement or when straining.
Treatment options: Observation may be suitable for small, painless ventral hernias, but surgery is advised if the hernia increases in size or begins to cause discomfort.
Hernia Surgery With Dr Roshan Ariyaratnam
With broad experience in open and laparoscopic hernia repair, Dr Roshan Ariyaratnam offers individualised care to patients throughout Altona, using advanced surgical methods focused on patient wellbeing and results.
After receiving your referral, his process includes:
- Initial consultation: Confirming diagnosis, identifying the hernia, and reviewing risks and benefits.
- Hernia repair surgery: Performed through either laparoscopic (keyhole) or open surgical methods.
- Recovery and follow-up: Providing advice and care on safe timelines for returning to physical activity after surgery.
Respected within the surgical community, Dr Roshan Ariyaratnam is known for his focus on complex hernia repair and abdominal wall reconstruction, earning frequent referrals from colleagues across Altona.
Mesh and Your Hernia Repair
Today, most hernia surgeries involve the use of absorbable mesh, which helps reinforce the abdominal wall and prevent future recurrence. Although mild hernias can occasionally be managed without mesh, mesh repair is the standard method for inguinal and ventral types.
Under TGA regulation and with support from the ANZ Hernia Society, mesh use in Australia is carefully managed. While both mesh and non-mesh repairs can occasionally lead to complications, mesh repairs tend to have fewer recurrences. Dr Roshan Ariyaratnam will explain the risks, benefits, and factors specific to your case to help you make an informed choice.
Robotic Hernia Surgery
Robotic hernia repair combines advanced robotic systems with refined surgical skill, offering a new standard in minimally invasive surgery. With the da Vinci Xi platform, Dr Roshan Ariyaratnam performs precise operations that minimise incisions and support faster recovery compared to open or conventional laparoscopic repairs.
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.
Robotic hernia surgery offers several important potential advantages, including:
- Less visible scarring and decreased pain during recovery
- Fewer wound problems and a lower chance of postoperative infection
- Shorter downtime before resuming normal activities and work
- Improved precision in abdominal wall reconstruction
- Consistent and reliable results in challenging or repeat hernia cases
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.
Ready to manage your hernia and move forward without ongoing discomfort?
Your Hernia Surgery Altona Questions Answered
Do all hernias need surgery?
A hernia won’t close or heal by itself, so surgical repair is typically recommended to avoid complications and recurrence. Many procedures include mesh reinforcement for added strength, and Dr Roshan Ariyaratnam will advise whether a mesh or non-mesh approach is most suitable for you.
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 refers to advanced reconstruction of the abdominal wall for very large or recurrent hernias. It often involves rebuilding connective tissue, restoring blood flow, and reinforcing the wall with mesh (such as an inguinal hernia mesh plug). Mesh, including absorbable and traditional options, is often a part of complex abdominal wall reconstruction.
How long is the recovery after hernia surgery?
The recovery process varies depending on whether your hernia repair was open or laparoscopic. Minimally invasive (laparoscopic) procedures usually allow same-day discharge and early light movement, while open repairs often need several more weeks of recovery. Dr Roshan Ariyaratnam will recommend when it may be safe to resume work and exercise.
What areas do you service?
Williamstown Specialist Centre is 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
Appointments are generally offered within a week of receiving your referral, supported by smooth communication between your GP and Dr Roshan Ariyaratnam’s team.
Convenient Access
Dr Roshan Ariyaratnam provides consultations at several Victoria locations, making it easier to find a clinic close to home.
Our Location near Altona
Book Your Hernia Consultation Today
If you suspect a hernia due to pain, swelling, or a visible lump, you can access expert care close to home. Dr Roshan Ariyaratnam provides complex hernia repair services throughout Victoria.
Don’t let hernia pain or discomfort affect your daily life; arrange a consultation today to discuss your treatment options.