Hernia Surgery Blackburn
Understanding Hernias
A hernia can cause both physical discomfort and emotional frustration. It often starts as a minor swelling or slight pain in the groin or stomach area and tends to become more pronounced with exertion, coughing, or lifting.
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.
Known for his advanced understanding of complex hernia repair, Dr Roshan Ariyaratnam is regularly referred patients by other surgeons for detailed assessment and surgical care.
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
Symptoms of a hernia can range in severity. Most people notice a lump that may feel sore or painful, especially during exertion. Other common signs include:
- A sensation of heaviness or dragging in the affected area
- Pressure
- A feeling of unease or soreness
- Swelling
- Pain where the lump is located
- Pain that occurs when lifting heavy objects
- A burning feeling in the affected area
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
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: A noticeable lump, discomfort, or pressure around the belly button that worsens with coughing or physical effort.
Treatment options: An umbilical hernia may seem minor at first, but without treatment, it can lead to serious complications such as strangulation. Surgery is the definitive treatment.

Groin Hernia
What it is: A groin hernia occurs when tissue pushes through the lower abdominal wall, extending from the lower abdomen into the groin area and sometimes toward the upper thigh. While the most common type is an inguinal hernia, women are also more likely to develop a femoral hernia (which is less common overall).
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: 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: A ventral hernia develops when tissue or intestine protrudes through a weak area of the abdominal wall. Common types include incisional (from a past surgery), epigastric (above the navel), and spigelian (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: For ventral hernias that aren’t uncomfortable, watching and waiting is typically considered safe. However, if the hernia becomes larger or causes pain, hernia surgery is recommended.
Hernia Surgery With Dr Roshan Ariyaratnam
As a general surgeon with extensive experience in both open and laparoscopic hernia repair, Dr Roshan Ariyaratnam provides tailored care for patients in Blackburn. He combines advanced laparoscopic techniques with a patient-centred philosophy to aim for the best outcomes.
Once a referral is received, Dr Roshan Ariyaratnam’s process involves:
- Initial consultation: Assessing your condition, confirming the hernia type, and discussing potential risks and treatment options.
- Hernia repair surgery: Conducted using minimally invasive keyhole surgery or traditional open repair.
- Recovery and follow-up: Assisting patients through recovery with clear instructions on returning to normal movement and physical exertion.
Dr Roshan Ariyaratnam is also recognised by other surgeons for his interest in complex hernia repair and abdominal wall reconstruction, making him a trusted choice for referrals across the Blackburn hernia community.
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 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.
Some of the key potential benefits of robotic hernia repair are:
- Less visible scarring and decreased pain during recovery
- Reduced likelihood of infection or wound-related issues
- Faster recovery and earlier return to daily routines or employment
- Enhanced control and precision for complex abdominal wall procedures
- Safe and reproducible outcomes for complex or recurrent 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 Blackburn Questions Answered
Do all hernias need surgery?
Once a hernia forms, it can’t heal on its 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.
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?
Your recovery time varies depending on the type of hernia repair. Laparoscopic surgery is minimally invasive, allowing most patients to return home within a day. Gentle walking is encouraged soon after, though heavier activity should wait until your surgeon approves. Open hernia repair usually requires a longer recovery, often several weeks more. Dr Roshan Ariyaratnam will guide you on when it’s safe to resume normal routines.
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
Experienced in a wide range of surgical approaches, Dr Roshan Ariyaratnam performs open and laparoscopic repairs as well as intricate abdominal wall reconstructions.
Rapid Access
Most patients are seen within one week of referral, with streamlined GP and specialist communication.
Convenient Access
Dr Roshan Ariyaratnam provides consultations at several Victoria locations, making it easier to find a clinic close to home.
Book Your Hernia Consultation Today
If you’ve noticed a lump, pain, or symptoms that suggest a hernia, treatment options are available close to home. Dr Roshan Ariyaratnam is a specialist in complex hernia repair and aims to offer lasting relief from multiple locations in Victoria.
Don’t let hernia pain or discomfort affect your daily life; arrange a consultation today to discuss your treatment options.