Hernia Surgery Cheltenham
Tailored hernia care with one of Cheltenham’s specialist general surgeons with interest in 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.
While some hernias cause only minor inconvenience, others have the potential to lead to chronic pain or even life-threatening complications if left untreated.
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 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
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 persistent pulling or dragging feeling
- A feeling of pressure or fullness
- An ongoing sense of discomfort in the area
- Localised swelling around the affected area
- Pain where the lump is located
- Pain that occurs when lifting heavy objects
- A burning feeling 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
Surgeons commonly classify abdominal wall hernias into three primary categories:
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: 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: A feeling of pain or tightness in the groin, sometimes with a visible bulge that enlarges when coughing or standing, though in women it may appear only as pain or tenderness.
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 forms through a weak point in the abdominal wall, typically appearing as an incisional, epigastric, or spigelian hernia depending on its location.
Common symptoms: Swelling, pressure, or pain in the abdominal region, often more obvious during movement or when 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
Providing care to patients across Cheltenham, Dr Roshan Ariyaratnam applies his wide experience in open and laparoscopic hernia repair and his commitment to patient-centred treatment for optimal outcomes.
After receiving your referral, his process includes:
- 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: Providing advice and care on safe timelines for returning to physical activity after surgery.
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 Cheltenham hernia community.
Mesh and Your Hernia Repair
In modern hernia repair, non-absorbable mesh is commonly used to support the abdominal wall and lower the risk of recurrence. Smaller hernias with few symptoms may be managed conservatively, but mesh repair remains the preferred approach 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 surgery represents the latest advancement in minimally invasive techniques, merging robotic precision with the skill of an experienced hernia surgeon. Through the da Vinci Xi system, Dr Roshan Ariyaratnam offers procedures with enhanced control, smaller cuts, and quicker recovery than traditional laparoscopic surgery. The next generation of hernia repair, robotic surgery, blends state-of-the-art robotic precision with the hands-on care of a hernia surgeon. Using the da Vinci Xi robotic platform, Dr Roshan Ariyaratnam achieves high accuracy, minimal scarring, and a faster return to normal activity.
This approach is particularly beneficial for complex ventral, incisional, inguinal, and recurrent hernias, where meticulous dissection and tension-free closure are critical for long-term durability. The robotic system provides enhanced 3D vision, tremor filtration, and wrist-like instrument movement, enabling refined control during component separation or mesh placement.
Key potential advantages of robotic hernia surgery include:
- Smaller scars and reduced postoperative pain
- Fewer wound problems and a lower chance of postoperative infection
- Speedier return to everyday tasks and professional duties
- More refined technique in reconstructing and reinforcing the abdominal wall
- 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.
Are you ready to take the next step toward relieving your hernia-related discomfort?
Your Hernia Surgery Cheltenham 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?
In open hernia repair, the surgeon makes a small cut over the hernia site, whereas laparoscopic repair is performed through several small incisions with the help of a camera. Both methods repair the hernia, though laparoscopic surgery typically offers a faster recovery time.
What is complex hernia surgery?
This describes a highly advanced repair for large or recurrent hernias, where the abdominal wall is rebuilt through restoration of tissue and blood flow, supported by mesh reinforcement such as an inguinal mesh plug or other absorbable materials.
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?
Holmesglen Private Hospital 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
Patients are typically scheduled within a week of referral, ensuring clear and efficient communication between GPs and specialists.
Convenient Access
Dr Roshan Ariyaratnam provides consultations at several Victoria locations, making it easier to find a clinic close to home.
Our Location near Cheltenham
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.