Hernia Surgery Box Hill South
Personalised hernia surgery from a Box Hill South-based general surgeon experienced in complex hernia procedures.
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.
In some instances, a hernia may seem like a small issue, but without treatment, it can develop into a source of lasting pain or dangerous complications.
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
When part of the intestine or fatty tissue pushes through a weak point in the abdominal wall, it results in a hernia, often appearing as a lump in the groin, belly button, or near a previous incision. This may be due to a congenital weakness or develop gradually from pressure caused by lifting, coughing, or constipation.
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 heavy or uncomfortable dragging sensation
- A sense of heaviness or internal pressure
- A feeling of unease or soreness
- Localised swelling around the affected area
- Pain where the lump is located
- Discomfort or aching brought on by heavy lifting
- A noticeable burning or tingling sensation near the lump
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
There are three main types of abdominal wall hernia:
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: For groin hernias that cause little to no discomfort, monitoring the condition may be appropriate at first. However, most hernias become symptomatic within a year or two, at which stage surgery is often advised in an effort to relieve symptoms such as constipation or urinary strain.
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: A noticeable lump or discomfort in the abdomen that worsens with coughing, lifting, or physical effort.
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 Box Hill South, using advanced surgical methods focused on patient wellbeing and results.
Once a referral is received, Dr Roshan Ariyaratnam’s process involves:
- Initial consultation: Identifying the hernia, confirming the diagnosis, and explaining the benefits and possible risks of surgery.
- Hernia repair surgery: Performed through either laparoscopic (keyhole) or open surgical methods.
- 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 Box Hill South hernia community.
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.
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.
The main potential benefits of robotic hernia surgery include:
- Smaller incisions leading to reduced pain following the procedure
- Lower risk of wound complications and infection
- Quicker return to normal activity and work
- Enhanced control and precision for complex abdominal wall procedures
- Improved safety and predictable outcomes for recurrent or complex 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.
Looking to treat your hernia and get back to feeling comfortable again?
Your Hernia Surgery Box Hill South 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?
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?
Union Road Specialist Centre is easily accessible to patients in:
Why Dr Roshan Ariyaratnam?
Specialist in Complex Hernia Repair
Dr Roshan Ariyaratnam has extensive experience in open and laparoscopic techniques, abdominal wall reconstruction, and complex hernia repair.
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
Dr Roshan Ariyaratnam consults across multiple locations in Victoria, allowing you to choose the location most convenient for you.
Our Location near Box Hill South
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.
Don’t let hernia pain or discomfort affect your daily life; arrange a consultation today to discuss your treatment options.