Hernia Surgery Sunbury
Hernia repair, provided by a Sunbury general surgeon with a focus on complex cases.
Understanding Hernias
Living with a hernia can bring ongoing discomfort and concern. What might start as a small bulge or occasional ache in the groin or abdominal area may gradually worsen, particularly during activities such as lifting, coughing, or straining.
In some instances, a hernia may seem like a small issue, but without treatment, it can develop into a source of lasting pain or dangerous complications.
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 forms when internal tissue pushes through weakened abdominal muscles, creating a visible bulge around the groin, navel, or surgical scar. Some hernias are present from birth due to muscle weakness, while others develop later from ongoing strain, heavy lifting, or chronic coughing.
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 persistent pulling or dragging feeling
- Pressure
- A feeling of unease or soreness
- A noticeable bulge or puffiness
- Localised pain in the area of the hernia
- Pain that occurs when lifting heavy objects
- A burning feeling in the affected area
Hernias have a tendency to increase in size and may cause health issues, which is why hernia repair surgery is commonly recommended.
Types of Hernia
Surgeons commonly classify abdominal wall hernias into three primary categories:
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: 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: A groin hernia forms when part of the intestine or fatty tissue pushes through a weak area in the lower abdomen, sometimes reaching the groin or thigh. Inguinal hernias are the most frequent, whereas femoral hernias are rarer but more common in women.
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: If your groin hernia is not uncomfortable, you may be able to watch and wait to see how it progresses. Typically, a groin hernia becomes symptomatic after one to two years. At this point, doctors typically recommend hernia surgery as it may assist with reducing symptoms like constipation and urinary difficulties.
Ventral Hernia
What it is: A ventral hernia forms through a weak point in the abdominal wall, typically appearing as an incisional, epigastric, or spigelian hernia depending on its location.
Common symptoms: A bulge or tightness in the abdomen that increases with activity, coughing, or standing for long periods.
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
With broad experience in open and laparoscopic hernia repair, Dr Roshan Ariyaratnam offers individualised care to patients throughout Sunbury, using advanced surgical methods focused on patient wellbeing and results.
Following a referral, his approach typically includes:
- Initial consultation: Confirming diagnosis, identifying the hernia, and reviewing risks and benefits.
- Hernia repair surgery: Carried out with either open or laparoscopic approaches, depending on the hernia type.
- Recovery and follow-up: Offering tailored guidance on when and how to safely resume exercise or heavy activity post-surgery.
Respected within the surgical community, Dr Roshan Ariyaratnam is known for his focus on complex hernia repair and abdominal wall reconstruction, earning frequent referrals from colleagues across Sunbury.
Mesh and Your Hernia Repair
In modern hernia repair, 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.
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.
Robotic hernia surgery offers several important potential advantages, including:
- Smaller scars and reduced postoperative pain
- Decreased risk of surgical site complications and infections
- Faster recovery and earlier return to daily routines or employment
- Greater accuracy during abdominal wall repair and reconstruction
- Improved safety and predictable outcomes for recurrent or complex 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.
Ready to manage your hernia and move forward without ongoing discomfort?
Your Hernia Surgery Sunbury 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 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?
Vimeyard 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
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 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.
Don’t let hernia pain or discomfort affect your daily life; arrange a consultation today to discuss your treatment options.