Hernia Surgery Wantirna
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.
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 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
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
- A feeling of unease or soreness
- Swelling
- Pain where the lump is located
- Pain that occurs when lifting heavy objects
- A burning feeling in the affected area
Since hernias usually worsen with time and carry risks if left unaddressed, most surgeons recommend surgical repair.
Types of Hernia
Abdominal wall hernias are generally grouped into three main types:
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: Pain, pressure, and a visible bulge in or near the navel that becomes more prominent when coughing or straining.
Treatment options: Initially, an umbilical hernia may be small, but leaving it untreated carries the risk of strangulation, which requires immediate surgery. Regardless of its size, hernia surgery is the only way to repair an umbilical hernia.
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: A bulge or tightness in the abdomen that increases with activity, coughing, or standing for long periods.
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
As a general surgeon with extensive experience in both open and laparoscopic hernia repair, Dr Roshan Ariyaratnam provides tailored care for patients in Wantirna. He combines advanced laparoscopic techniques with a patient-centred philosophy to aim for the best outcomes.
Once a referral is received, Dr Roshan Ariyaratnam’s process involves:
- Initial consultation: Assessing your condition, confirming the hernia type, and discussing potential risks and treatment options.
- Hernia repair surgery: Carried out with either open or laparoscopic approaches, depending on the hernia type.
- Recovery and follow-up: Providing advice and care on safe timelines for returning to physical activity after surgery.
Dr Roshan Ariyaratnam is widely regarded by peers for his work in complex hernia repair and abdominal wall reconstruction, with many surgeons across Wantirna 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.
This method is especially useful in treating complex ventral, incisional, inguinal, and recurrent hernias, where precision and a tension-free repair are essential for lasting results. With 3D visualisation, tremor reduction, and flexible wristed instruments, the robotic system allows exceptional control during delicate procedures such as mesh placement.
Key potential advantages of robotic hernia surgery include:
- Minimal scarring and less discomfort after surgery
- Fewer wound problems and a lower chance of postoperative infection
- Quicker return to normal activity and work
- Greater accuracy during abdominal wall repair and reconstruction
- Reliable, high-quality results even in complex or previously repaired 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.
Ready to address your hernia and potentially eliminate your discomfort?
Your Hernia Surgery Wantirna 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 type of procedure focuses on rebuilding the abdominal wall in cases of large or recurrent hernias. It typically includes repairing connective tissue, improving circulation, and strengthening the area with mesh reinforcement, such as an inguinal mesh plug.
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
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 provides consultations at several Victoria locations, making it easier to find a clinic close to home.
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.
Don’t let discomfort rule your life; book your appointment today to discuss the most appropriate treatment for your hernia.