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. 2024 Mar 12;2024(3):CD014763. doi: 10.1002/14651858.CD014763.pub2

Ali 2021.

Study characteristics
Methods Design: parallel‐group RCT
Study period: December 2017–December 2018
Participants Setting: elective general or colorectal surgery
Type of stoma: ileostomy
Inclusion criteria
  • Age ≥ 18 years

  • Temporary stoma formation secondary to typhoid perforation


Exclusion criteria
  • Stoma formation for other pathologies

  • Death or dropout

  • Need for secondary surgery at other centres

Interventions PSSC using subcuticular absorbable suture (n = 37) versus LSC using interrupted non‐absorbable suture (n = 35). No mesh or drain was used during closure in either group.
Outcomes
  • SSI (according to CDC diagnostic guidelines)

  • Participant satisfaction (POSAS) at 1 month and 3 months

  • Intestinal obstruction/leakage

  • Hospital stay

Notes The 2 groups were comparable in terms of baseline demographics (age, sex, BMI) and comorbidities. The length of follow‐up was 3 months. The study received no external funding, and the protocol had been registered with the Chinese Clinical Trial Registry (registration number: ChiCTR 1900025624). The study authors declared no conflicts of interest.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Article describes method of randomisation but not type of randomisation.
Allocation concealment (selection bias) Low risk The method used for randomisation supports allocation concealment.
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants and personnel were not blinded (blinding may not be practical in this setting).
Blinding of outcome assessment (detection bias)
All outcomes High risk Outcome assessment was not blinded (blinding may not be practical in this setting).
Incomplete outcome data (attrition bias)
All outcomes Low risk Complete outcome data for all participants.
Selective reporting (reporting bias) Low risk No selective reporting detected.
Other bias Low risk No other sources of bias detected.