Hernia Surgery Melton South
Comprehensive hernia treatment with a Melton South general surgeon experienced in handling 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
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
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 sensation of heaviness or dragging in the affected area
- Noticeable pressure in the affected area
- Mild to moderate pain or discomfort
- Localised swelling around the affected area
- Discomfort or aching around the bulge
- Pain that worsens during physical exertion or lifting
- A burning feeling in the affected area
Because hernias tend to enlarge over time and can cause serious complications, surgeons typically recommend hernia repair surgery.
Types of Hernia
Three key types of hernias can occur in the abdominal wall:

Umbilical Hernia
What it is: An umbilical hernia forms when part of the intestine or fatty tissue bulges through a weak spot near the navel.
Common symptoms: A noticeable lump, discomfort, or pressure around the belly button that worsens with coughing or physical effort.
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: 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 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: 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
With broad experience in open and laparoscopic hernia repair, Dr Roshan Ariyaratnam offers individualised care to patients throughout Melton South, using advanced surgical methods focused on patient wellbeing and results.
After your referral has been submitted, the next steps in his process are:
- 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: Offering tailored guidance on when and how to safely resume exercise or heavy activity post-surgery.
Among Melton South’s surgical network, Dr Roshan Ariyaratnam is recognised for his experience in complex hernia and abdominal wall reconstruction cases, making him a preferred referral choice.
Mesh and Your Hernia Repair
Today, most hernia surgeries involve the use of non-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.
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 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 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:
- Smaller scars and reduced postoperative pain
- Lower risk of wound complications and infection
- Speedier return to everyday tasks and professional duties
- More refined technique in reconstructing and reinforcing the abdominal wall
- Reliable, high-quality results even in complex or previously repaired hernias
Dr Ariyaratnam provides robotic hernia surgery at both Knox Private Hospital and Epworth Freemasons, combining multidisciplinary care with personalised planning based on each patient’s body, history, and lifestyle.
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 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 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?
Vineyard Specialist Centre 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
Most patients are seen within one week of referral, with streamlined GP and specialist communication.
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.
Take the first step toward relief. Schedule your appointment today to explore the best potential treatment options for your hernia.