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. 2017 Feb 7;2017(2):CD010814. doi: 10.1002/14651858.CD010814.pub2

Nowobilski 2004.

Methods Randomized controlled trial.
Unilateral hernia.
Country: Poland.
Setting: Department of General & Gastroenterological Surgery, St. Vincent a’Paulo Hospital of Gdynia, Poland.
Enrolment dates: between May and November 2003.
Participants Inclusion criteria:
  • Unilateral inguinal hernias that underwent elective surgical treatment.

  • Male: 100%


Glue group:
  • 22 participants

  • Median (range) age: 60.5 (30 to 76)

  • Right:left: 12:10

  • Direct:indirect: 9:13

  • Hernia type: not reported


Suture group:
  • 24 participants

  • Median (range) age: 52.6 (20 to 78)

  • Right: left: 14:10

  • Direct: indirect: 8:16

  • Hernia type: not reported

Interventions Lichtenstein inguinal hernioplasty with polypropylene mesh.
Glue group:
  • Butyl‐2‐cyanoacrylate adhesive (Indermil; Loctite, Dublin, Ireland)


Suture group:
  • 3/0 Dexon, Tyco

Outcomes Recurrences, infection, seroma, length of operation, time to discharge, recovery time to normal activity
Notes Handling of nerves:
  • The genitofemoral nerve was lifted in order to avoid any direct contact until the glue was dried.


Length of follow‐up: median of 4.7 (range 3 to 9) months.
Time points of the analysis: last day of the follow‐up.
Intention‐to‐treat analysis:yes.
The number of people randomized: 22 in Glue group; 24 in Suture group
The number of people evaluated: 22 in Glue group; 24 in Suture group
Information from publication only.
No details of funding sources and any declarations of interest provided.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not clear.
Allocation concealment (selection bias) Unclear risk Not clear.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not clear.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not clear.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants had been followed up for at least 3 months.
Selective reporting (reporting bias) High risk Without the result of chronic pain.
Other bias Unclear risk Not clear. Without details of funding sources and any declarations of interest.