Hernia Surgery Ringwood
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 happens when abdominal contents push through the abdominal wall, often creating a lump or bulge in the groin area, belly button, or at the site of a previous incision. For some, hernias occur because of a natural weakness in the abdominal muscles and may be present at birth. For others, they develop over time due to strain from lifting heavy objects, chronic coughing, or difficulty with bowel movements.
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 sensation of heaviness or dragging in the affected area
- Pressure
- Mild to moderate pain or discomfort
- Localised swelling around the affected area
- Tenderness or pain at the site of the lump
- Pain that occurs when lifting heavy objects
- A noticeable burning or tingling sensation near the lump
Because hernias tend to enlarge over time and can cause serious complications, surgeons typically recommend hernia repair surgery.
Types of Hernia
Abdominal wall hernias are generally grouped into three main types:
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: 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: Pain, pressure, and a bulge in the groin area that becomes more visible when coughing or straining. However, not all groin hernias cause a lump, and in women, they may present only with pain or discomfort.
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 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: Swelling, pressure, or pain in the abdominal region, often more obvious during movement or when straining.
Treatment options: Small, symptom-free ventral hernias can often be watched over time, though surgery is usually suggested once pain or enlargement develops.
Hernia Surgery With Dr Roshan Ariyaratnam
Dr Roshan Ariyaratnam draws on his extensive background in open and laparoscopic hernia surgery to deliver personalised care for patients in Ringwood, combining modern techniques with a caring, patient-first approach.
After receiving your referral, his process includes:
- Initial consultation: Assessing your condition, confirming the hernia type, and discussing potential risks and treatment options.
- 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 Ringwood hernia community.
Mesh and Your Hernia Repair
Today, most hernia surgeries involve the use of 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 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.
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:
- Smaller incisions leading to reduced pain following the procedure
- Reduced likelihood of infection or wound-related issues
- Quicker return to normal activity and work
- More refined technique in reconstructing and reinforcing the abdominal wall
- Safe and reproducible outcomes for complex or recurrent 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.
Looking to treat your hernia and get back to feeling comfortable again?
Your Hernia Surgery Ringwood Questions Answered
Do all hernias need surgery?
Hernias do not resolve without treatment, which is why surgery is generally advised to stop them from worsening or causing complications such as strangulation. Often, mesh is used to strengthen the repair and lower the risk of recurrence. Dr Roshan Ariyaratnam will guide you on whether mesh or non-mesh repair best suits your case.
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?
Knox Private Hospital and Forest Hill Medical and Dental Centre are easily accessible to patients in:
Why Dr Roshan Ariyaratnam?
Specialist in Complex Hernia Repair
Dr Roshan Ariyaratnam has extensive experience in open and laparoscopic techniques, abdominal wall reconstruction, and complex hernia repair.
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
With consulting rooms in multiple Victoria locations, Dr Roshan Ariyaratnam offers flexibility so you can attend appointments at a location that suits you best.
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.