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. 2016 Jul 15;2016(7):CD001893. doi: 10.1002/14651858.CD001893.pub2

Jorgensen 2001.

Methods RCT
Approved by the ethics committee and written informed consent obtained from each patient
Setting: Denmark
Funding: charity
Participants 60 ASA 1 or 2 women aged 18 to 75 years undergoing elective abdominal hysterectomy through a Phannenstiel or median incision
Interventions Treatment groups: TEA with lidocaine intraoperatively only (n = 20) or TEA with lidocaine intraoperatively and bupivacaine 0.2% for 24 hours after surgery (n = 20)
Control group: no epidural (n = 20)
General anaesthesia, paracetamol, ketorolac and IM (?) morphine for all participants
Outcomes Time to first flatus
Time to first faeces
Notes Study authors contacted on 27 June 2014, but did not reply
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated
Allocation concealment (selection bias) Low risk Sealed envelopes
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding between the 2 epidural groups only
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Blinding between the 2 epidural groups only
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 7 participants excluded after randomization; replaced with new sealed envelopes
Selective reporting (reporting bias) Low risk All results provided
Other bias Low risk Groups well balanced