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. 2013 Aug 31;2013(8):CD006574. doi: 10.1002/14651858.CD006574.pub4

Vezakis 1999.

Methods Randomised clinical trial.
Participants Country: United Kingdom.
 Number randomised: 36.
 Mean age: 52 years.
 Females: 29 (80.6%).
Inclusion criteria:
  1. Elective laparoscopic cholecystectomy

  2. ASA I or II.


Exclusion criteria:
  1. Extensive upper abdominal incisions

  2. Receiving regular analgesic medication.

Interventions Participants were randomly assigned to two groups:
Group 1: abdominal wall lift (n = 18).
 Group 2: pneumoperitoneum with 8 mm Hg pressure (n = 18).
Device used for abdominal lift: subcutaneous device.
Outcomes The main outcome measures were operating time and hospital stay.
Notes Two cross‐over from abdominal wall lift group: 1 because of inadequate exposure; 1 because of necessity to perform laparoscopic CBD exploration.
Attempts were made to contact the author in February 2007.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomisation was performed preoperatively using envelopes with random numbers."
Allocation concealment (selection bias) Low risk Quote: "Randomisation was performed preoperatively using envelopes with random numbers."
Comment: further details of the sealed envelope were not available.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: This information was not available.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: This information was not available.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Comment: There were postrandomisation drop‐outs.
Selective reporting (reporting bias) High risk Comment: Important outcomes were not reported.
Vested interest bias Unclear risk Comment: This information was not available.