Hernia Surgery Sunbury
Personalised hernia surgery from a Sunbury-based general surgeon experienced in complex hernia procedures.
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.
As a specialist general surgeon with interests and advanced knowledge in complex hernia repair, Dr Roshan Ariyaratnam is a natural choice for complex hernia cases, revision work, and referrals from other surgeons.
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 persistent pulling or dragging feeling
- Noticeable pressure in the affected area
- Mild to moderate pain or discomfort
- A noticeable bulge or puffiness
- Localised pain in the area of the hernia
- A sharp or pulling pain felt when lifting something heavy
- A warm or burning sensation around the hernia site
As hernias often grow larger and may lead to complications, surgical repair is generally advised to restore strength to the abdominal wall.
Types of Hernia
There are three main types of abdominal wall hernia:

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: 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: 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: If a ventral hernia causes no symptoms, monitoring it may be appropriate. Should it grow or become painful, surgical repair is generally recommended.
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 Sunbury, combining modern techniques with a caring, patient-first approach.
Following a referral, his approach typically includes:
- Initial consultation: A detailed examination to confirm the hernia and outline the pros and cons of different treatment approaches.
- Hernia repair surgery: Performed through either laparoscopic (keyhole) or open surgical methods.
- 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 Sunbury 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 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 approach is particularly beneficial for complex ventral, incisional, inguinal, and recurrent hernias, where meticulous dissection and tension-free closure are critical for long-term durability. The robotic system provides enhanced 3D vision, tremor filtration, and wrist-like instrument movement, enabling refined control during component separation or mesh placement.
Some of the key potential benefits of robotic hernia repair are:
- Smaller incisions leading to reduced pain following the procedure
- Lower risk of wound complications and 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
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.
Are you ready to take the next step toward relieving your hernia-related discomfort?
Your Hernia Surgery Sunbury 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 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?
Abdominal wall reconstruction is a complex surgical approach used for major or recurrent hernias. It may include restoring tissue layers, improving blood supply, and securing the repair with mesh, whether absorbable or permanent, for added durability.
How long is the recovery after hernia surgery?
This depends on the type of surgery you had. As laparoscopic hernia repair is a minimally invasive surgery, most patients go home the same day or the next day. After this, light walking is typically encouraged, but more strenuous activity should be avoided until cleared by your surgeon. Recovery from open hernia repair generally takes several weeks longer than laparoscopic techniques. Regardless of the type of surgery you had, Dr Roshan Ariyaratnam will advise you on when you can return to your usual activities.
What areas do you service?
Vimeyard Specialist Centre is easily accessible to patients in:
Why Dr Roshan Ariyaratnam?
Specialist in Complex Hernia Repair
Dr Roshan Ariyaratnam brings a wealth of experience in open and keyhole hernia repair, including complex cases and advanced abdominal wall reconstruction.
Rapid Access
Appointments are generally offered within a week of receiving your referral, supported by smooth communication between your GP and Dr Roshan Ariyaratnam’s 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 Sunbury
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.
Book your appointment today and find out which hernia treatment approach may be right for you, so you may get back to living comfortably.