Hernia Surgery Moorabbin
Hernia repair, provided by a Moorabbin general surgeon with a focus on complex cases.
Understanding Hernias
Living with a hernia may be uncomfortable, frustrating, and sometimes worrying. What may begin as a small lump or mild discomfort in the groin or abdomen often becomes more noticeable over time, especially when lifting, coughing, or straining.
Although certain hernias may cause little more than mild discomfort, others can result in ongoing pain or serious complications when not addressed.
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 ‘dragging’ feeling
- Pressure
- Mild to moderate pain or discomfort
- A noticeable bulge or puffiness
- Pain where the lump is located
- A sharp or pulling pain felt when lifting something heavy
- A feeling of heat or irritation in the affected area
Since hernias usually worsen with time and carry risks if left unaddressed, most surgeons recommend surgical repair.
Types of Hernia
Three key types of hernias can occur in the abdominal wall:
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: Pain, pressure, and a visible bulge in or near the navel that becomes more prominent when coughing or straining.
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 occurs when tissue pushes through the lower abdominal wall, extending from the lower abdomen into the groin area and sometimes toward the upper thigh. While the most common type is an inguinal hernia, women are also more likely to develop a femoral hernia (which is less common overall).
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: This type of hernia occurs when tissue pushes through weakened abdominal muscles, often near a surgical scar (incisional), above the belly button (epigastric), or between muscle layers (spigelian).
Common symptoms: Swelling, pressure, or pain in the abdominal region, often more obvious during movement or when 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
Providing care to patients across Moorabbin, 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: 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: Assisting patients through recovery with clear instructions on returning to normal movement and physical exertion.
Dr Roshan Ariyaratnam is widely regarded by peers for his work in complex hernia repair and abdominal wall reconstruction, with many surgeons across Moorabbin referring patients to his care.
Mesh and Your Hernia Repair
Absorbable mesh is now widely used in hernia surgery to strengthen weak areas of the abdominal wall and minimise recurrence. While observation or non-mesh repairs may be suitable for very small hernias, mesh reinforcement is generally recommended for inguinal and ventral hernias.
In Australia, mesh use is closely regulated by the TGA and endorsed by the ANZ Hernia Society. While complications are uncommon, they can occur in both mesh and non-mesh repairs. Mesh repairs, however, tend to have a lower recurrence rate. Dr Roshan Ariyaratnam ensures patients understand all options by discussing potential benefits, risks, and personal factors.
Robotic Hernia Surgery
Robotic hernia surgery is the next evolution in minimally invasive hernia repair, combining the precision of advanced robotic technology with the expertise of a specialist hernia surgeon. Using the da Vinci Xi surgical platform, Dr Roshan Ariyaratnam performs robotic procedures that allow greater accuracy, smaller incisions, and faster recovery compared with traditional open or standard laparoscopic repair.
Robotic surgery is particularly advantageous for difficult hernias, including ventral, incisional, inguinal, and recurrent types, where detailed dissection and tension-free closure are vital. The technology’s 3D imaging, tremor stabilisation, and articulated instruments offer superior precision for tasks like mesh positioning or tissue separation.
The main potential benefits of robotic hernia surgery include:
- Less visible scarring and decreased pain during recovery
- Reduced likelihood of infection or wound-related issues
- Faster recovery and earlier return to daily routines or employment
- More refined technique in reconstructing and reinforcing the abdominal wall
- Improved safety and predictable outcomes for recurrent or complex 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 Moorabbin 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 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 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?
Recovery time differs by procedure. With laparoscopic hernia repair, most people leave the hospital the same or the next day and can begin gentle walking soon after. Strenuous tasks should be delayed until cleared by the surgeon. Open repair tends to take longer to heal, but Dr Roshan Ariyaratnam will provide personalised advice for your recovery timeline.
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
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 Moorabbin
Book Your Hernia Consultation Today
If you’re experiencing a lump, discomfort, or other signs of a hernia, help is available nearby. Dr Roshan Ariyaratnam provides advanced hernia repair from several convenient locations across Victoria.
Take the first step toward relief. Schedule your appointment today to explore the best potential treatment options for your hernia.