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. 2016 Dec 20;2016(12):CD003091. doi: 10.1002/14651858.CD003091.pub4

Law 1987.

Methods 3‐arm RCT undertaken in the UK
Participants People undergoing inguinal hernia repair or high saphenous ligation. 170 participants randomised. 4 participants lost to follow‐up, but unclear to which group(s) they belonged. No information provided regarding follow‐up.
Interventions Group A (n = 59): gauze, removed on day 5, or changed if wound was discharging
 Group B (n = 54): film dressing (Opsite; Smith & Nephew), removed on day 5. Discharge aspirated through dressing, and new dressing applied, if necessary.
 Group C (n = 53): exposed wound (if discharge, covered with gauze for as long as necessary)
Outcomes Primary review outcome: SSI (not defined)
 Secondary review outcome: cost (total dressing cost)
Notes Trial outcome data: see Table 12
Follow‐up: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "...were randomly allocated to one of three surgical dressing options".
Comment: not enough detail provided to understand process.
Allocation concealment (selection bias) Unclear risk No details provided in the report.
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk No mention of blinding in the trial report.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: trial notes that 4 participants were lost to follow‐up.
Selective reporting (reporting bias) Unclear risk Lack of data for certain outcomes such as preference, scarring and comfort.
Other bias Unclear risk No baseline data presented.