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 |
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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. |