Hernia Surgery Altona
Comprehensive hernia treatment with a Altona general surgeon experienced in handling complex hernia cases.
Understanding Hernias
Living with a hernia can bring ongoing discomfort and concern. What might start as a small bulge or occasional ache in the groin or abdominal area may gradually worsen, particularly during activities such as lifting, coughing, or straining.
While some hernias cause only minor inconvenience, others have the potential to lead to chronic pain or even life-threatening complications if left untreated.
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 occurs when tissue or organs push through a weak spot in the abdominal wall, forming a noticeable bulge in areas such as the groin, navel, or an old surgical scar. Some people are born with a weakness in the muscle wall, while others develop a hernia later in life from strain caused by heavy lifting, persistent coughing, or bowel strain.
Symptoms of Hernias
The signs of a hernia are not always the same for everyone. Typically, a hernia presents as a lump that may cause discomfort or worsen with physical activity. Other possible indications are:
- A sensation of heaviness or dragging in the affected area
- Pressure
- A feeling of unease or soreness
- Localised swelling around the affected area
- Discomfort or aching around the bulge
- Pain that worsens during physical exertion or lifting
- A feeling of heat or irritation in the affected area
Hernias have a tendency to increase in size and may cause health issues, which is why hernia repair surgery is commonly recommended.
Types of Hernia
Abdominal wall hernias are generally grouped into three main types:

Umbilical Hernia
What it is: Occurring near the belly button, an umbilical hernia happens when tissue or intestine breaks through the abdominal wall.
Common symptoms: A bulge and tenderness around the navel area, which may increase when coughing, bending, or straining.
Treatment options: Initially, an umbilical hernia may be small, but leaving it untreated carries the risk of strangulation, which requires immediate surgery. Regardless of its size, hernia surgery is the only way to repair an umbilical hernia.

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: 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: Pain, pressure, and a visible bulge in the abdominal area that becomes more prominent when coughing or straining.
Treatment options: If a ventral hernia causes no symptoms, monitoring it may be appropriate. Should it grow or become painful, surgical repair is generally recommended.
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.
Following a referral, his approach typically includes:
- Initial consultation: Assessing your condition, confirming the hernia type, and discussing potential risks and treatment options.
- Hernia repair surgery: Using keyhole or open techniques.
- Recovery and follow-up: Supporting patients with guidance on when to resume strenuous activity or strenuous exercise after surgery.
Dr Roshan Ariyaratnam is widely regarded by peers for his work in complex hernia repair and abdominal wall reconstruction, with many surgeons across Altona referring patients to his care.
Mesh and Your Hernia Repair
Today, most hernia surgeries involve the use of non-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.
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 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 method is especially useful in treating complex ventral, incisional, inguinal, and recurrent hernias, where precision and a tension-free repair are essential for lasting results. With 3D visualisation, tremor reduction, and flexible wristed instruments, the robotic system allows exceptional control during delicate procedures such as 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
- Faster recovery and earlier return to daily routines or employment
- Enhanced control and precision for complex abdominal wall procedures
- Improved safety and predictable outcomes for recurrent or complex hernias
Dr Ariyaratnam offers robotic hernia repair at Knox Private Hospital and Epworth Freemasons, with a multidisciplinary approach tailored to each patient’s anatomy, previous surgery, and lifestyle needs.
Are you ready to take the next step toward relieving your hernia-related 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?
Open hernia repair involves a small incision directly over the defect, while laparoscopic hernia repair uses tiny incisions and a camera inside the abdomen. Both aim to heal the hernia, but laparoscopic techniques often allow for a quicker recovery.
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?
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
Most patients are seen within one week of referral, with streamlined GP and specialist communication.
Convenient Access
With consulting rooms in multiple Victoria locations, Dr Roshan Ariyaratnam offers flexibility so you can attend appointments at a location that suits you best.
Our Location near Altona
Book Your Hernia Consultation Today
Noticing a lump or discomfort that could be a hernia? Dr Roshan Ariyaratnam offers comprehensive hernia care from multiple Victoria locations, focusing on long-term results.
Book your appointment today and find out which hernia treatment approach may be right for you, so you may get back to living comfortably.