A Jack or Two in the Box in a Case of Recurrent Inguinal Hernia

Occult herniae are difficult to diagnose clinically and hence require pre-operative imaging. There is a need to inspect all the hernia orifices at the operating table to facilitate their needful repairs. A laparoscopic approach to repair these defects is essential as in this view, all the hernial orifices can be visualized. We are presenting a case of bilateral recurrent inguinal hernia, where two occult herniae were discovered on the table, all of which were repaired either by plication alone or Lichtenstein’s tension-free mesh repair.