Conclusions  Although neither the grade of difficulty nor the surgeon’s perception of the quality of repair significantly predicted the final outcome, the risk for reoperation increased if the repair was performed rapidly. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10029-009-0527-9Authors G. Sandblom, Karolinska Institute CLINTEC, Division of Surgery 141 86 Stockholm SwedenD. Sevonius, University Hospital Department of Surgery Lund SwedenC. Staël von Holstein, University Hospital Department of Surgery Lund Sweden Journal HerniaOnline ISSN 1248-9204Print ISSN 1265-4906 (Source: Hernia)