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

Turunen 2009.

Methods RCT
Approved by the ethics committee and written informed consent obtained from each patient
Setting: Finland
Funding: unspecified
Participants 60 ASA physical status score of 1 to 3 consecutive elective patients with complicated diverticular disease (1 acute episode in patients younger than 50 years, and 2 in older patients, or a preoperative stricture) undergoing laparoscopic sigmoid resection
Interventions Treatment group: TEA (T10‐T11) with ropivacaine 0.5% during surgery and ropivacaine 0.2% for 48 hours after surgery (n = 29)
Control group: IV or IM oxycodone (n = 29)
General anaesthesia for all participants. All participants received daily doses of ketoprofen including three 100‐mg doses administered intravenously (IV) or orally, 4 paracetamol 1‐g doses given IV or orally and, if needed, oxycodone 0.05 mg/kg IV or 0.15 mg/kg administered intramuscularly
Outcomes Time to first flatus
VAS scores on movement at 24, 48 and 72 hours
Leak
Notes Study authors contacted for additional information on 12 July 2014, but did not reply
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Randomization in blocks of 10"
Allocation concealment (selection bias) Low risk "sealed envelopes"
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not mentioned
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not mentioned
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 1 participant from each group was excluded because of a missing self care questionnaire
Selective reporting (reporting bias) Low risk All results provided
Other bias Low risk Groups well balanced. "The data were analyzed on an intention‐to‐treat basis, which means that patients with unsuccessful epidural analgesia were counted as epidural analgesia patients"