Hernia Surgery Knox (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 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
The symptoms of hernias may vary. Most hernias cause a lump that may be tender or lead to increased pain with activity or straining. Other signs include:
- A sensation of heaviness or dragging in the affected area
- Pressure
- An ongoing sense of discomfort in the area
- Localised swelling around the affected area
- Localised pain in the area of the hernia
- Pain that worsens during physical exertion or lifting
- A feeling of heat or irritation in the affected area
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
Three key types of hernias can occur in the abdominal wall:
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: Swelling or pain near the umbilicus, often becoming more obvious when standing, coughing, or lifting.
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: 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 is a weakness in the abdominal wall where tissue pushes through. Types include incisional hernia (at a previous incision site), epigastric hernia (above the navel), and the less common spigelian hernia (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
Providing care to patients across Wantirna, Dr Roshan Ariyaratnam applies his wide experience in open and laparoscopic hernia repair and his commitment to patient-centred treatment for optimal outcomes.
Once a referral is received, Dr Roshan Ariyaratnam’s process involves:
- 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.
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 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.
This technique offers significant benefits for complex or recurrent hernias, including ventral, incisional, and inguinal cases. Enhanced 3D imaging, tremor control, and wrist-like instrument motion provide exceptional precision during intricate steps such as component separation and mesh placement.
Robotic hernia surgery offers several important potential advantages, including:
- Smaller incisions leading to reduced pain following the procedure
- Lower risk of wound complications and infection
- Quicker return to normal activity and work
- Enhanced control and precision for complex abdominal wall procedures
- Improved safety and predictable outcomes for recurrent or complex hernias
At Knox Private Hospital and Epworth Freemasons, Dr Ariyaratnam performs robotic hernia repairs using a collaborative approach that considers individual anatomy, prior operations, and lifestyle factors.
Ready to address your hernia and potentially eliminate your discomfort?
Your Hernia Surgery Wantirna 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 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?
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?
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 patients are seen within one week of referral, with streamlined GP and specialist communication.
Convenient Access
Dr Roshan Ariyaratnam consults across multiple locations in Victoria, allowing you to choose the location most convenient for you.
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.