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.
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
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
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 persistent pulling or dragging feeling
- A feeling of pressure or fullness
- Discomfort
- Swelling
- Discomfort or aching around the bulge
- Discomfort or aching brought on by heavy lifting
- A noticeable burning or tingling sensation near the lump
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: 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: While an umbilical hernia might start small, it can become dangerous if strangulation occurs. Surgical repair is the only method to correct it safely.
Groin Hernia
What it is: A groin hernia forms when part of the intestine or fatty tissue pushes through a weak area in the lower abdomen, sometimes reaching the groin or thigh. Inguinal hernias are the most frequent, whereas femoral hernias are rarer but more common in women.
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: Observation may be suitable for a small, pain-free groin hernia, though symptoms often arise within one to two years. Surgical repair is typically advised, as it may help ease related issues such as bowel or urinary discomfort.
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: 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 Cheltenham. He combines advanced laparoscopic techniques with a patient-centred philosophy to aim for the best outcomes.
Following a referral, his approach typically 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: Offering tailored guidance on when and how to safely resume exercise or heavy activity post-surgery.
Dr Roshan Ariyaratnam is widely regarded by peers for his work in complex hernia repair and abdominal wall reconstruction, with many surgeons across Cheltenham referring patients to his care.
Mesh and Your Hernia Repair
Most hernia repairs today use 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.
The use of surgical mesh is strictly regulated in Australia through the TGA and supported by the ANZ Hernia Society. Although rare, complications can happen in both mesh and non-mesh procedures. Mesh repairs typically offer reduced recurrence rates, and Dr Roshan Ariyaratnam will guide you through the pros, cons, and what best suits your situation.
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:
- Minimal scarring and less discomfort after surgery
- Lower risk of wound complications and infection
- Faster recovery and earlier return to daily routines or employment
- More refined technique in reconstructing and reinforcing the abdominal wall
- 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.
Looking to treat your hernia and get back to feeling comfortable again?
Your Hernia Surgery Cheltenham 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 repair requires one incision directly over the hernia, while laparoscopic repair is performed through several small keyhole openings using a camera. Each approach repairs the hernia effectively, though laparoscopic surgery usually supports quicker recovery.
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?
Holmesglen Private Hospital is 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
Patients are typically scheduled within a week of referral, ensuring clear and efficient communication between GPs and specialists.
Convenient Access
Dr Roshan Ariyaratnam consults across multiple locations in Victoria, allowing you to choose the location most convenient for you.
Our Location near Cheltenham
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.