Hernia Surgery Melton South
Hernia repair, provided by a Melton South general surgeon with a focus on complex cases.
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.
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
Hernia symptoms can vary from person to person. In many cases, a noticeable lump appears that can be tender or become more painful when lifting or straining. Additional symptoms may include:
- A heavy or uncomfortable dragging sensation
- Pressure
- A feeling of unease or soreness
- Swelling
- Localised pain in the area of the hernia
- Discomfort or aching brought on by heavy lifting
- A warm or burning sensation around the hernia site
Since hernias usually worsen with time and carry risks if left unaddressed, most surgeons recommend surgical repair.
Types of Hernia
There are three main types of abdominal wall hernia:

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 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: This type of hernia happens when abdominal tissue bulges through a weak spot in the lower abdomen, often extending into the groin or upper thigh. The inguinal hernia is most common, while femoral hernias tend to occur more often in women.
Common symptoms: A noticeable lump or pressure in the groin that may worsen when lifting or coughing. In some cases, especially in women, there may be pain without a visible bulge.
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 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: 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
Providing care to patients across Melton South, Dr Roshan Ariyaratnam applies his wide experience in open and laparoscopic hernia repair and his commitment to patient-centred treatment for optimal outcomes.
After your referral has been submitted, the next steps in his process are:
- Initial consultation: A detailed examination to confirm the hernia and outline the pros and cons of different treatment approaches.
- Hernia repair surgery: Using keyhole or open techniques.
- 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 Melton South 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.
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 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 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
- Fewer wound problems and a lower chance of postoperative infection
- Speedier return to everyday tasks and professional duties
- Enhanced control and precision for complex abdominal wall procedures
- Reliable, high-quality results even in complex or previously repaired hernias
At Knox Private Hospital and Epworth Freemasons, Dr Ariyaratnam performs robotic hernia repairs using a collaborative approach that considers individual anatomy, prior operations, and lifestyle factors.
Looking to treat your hernia and get back to feeling comfortable again?
Your Hernia Surgery Melton South 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 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?
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?
Vimeyard 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
Patients are typically scheduled within a week of referral, ensuring clear and efficient communication between GPs and specialists.
Convenient Access
Consultations with Dr Roshan Ariyaratnam are available across multiple Victoria locations giving patients the convenience of choosing their preferred location.
Our Location near Melton 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 discomfort rule your life; book your appointment today to discuss the most appropriate treatment for your hernia.