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

Martin‐Trapero 2013.

Methods 2‐arm RCT undertaken in Spain
Participants People diagnosed with cholelithiasis undergoing elective laparoscopic cholecystectomy
Exclusion criteria: > 70 years of age; diabetes; having a fever; and current treatment with immunosuppressants
Interventions Group A (n = 101): non‐occlusive dressing (gauze)
Group B (n = 96): 0.2% polyhexamethylene biguanide (PHMB) dressing
The disinfection of the skin prior to surgery was performed 2 times with a solution of povidone iodine.
A single dose of prophylaxis antibiotics was given at anaesthetic induction.
Metal staples were used to close the surgical wound. Once incisions closed the wound was cleaned with povidone‐iodine 0.01% and the gauze or PHMB dressing was applied.
Outcomes Primary review outcome: SSI (CDC definition)
Secondary review outcomes: none (based on translation)
Notes Trial outcome data: see Table 12
Information extracted from English abstract and limited translation of methods and results
Follow‐up: 30 days
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Based on translation
"....were assigned by an automatic method after the preparation of a spreadsheet (MS Excel) using the function ‐random tool where the researcher did not know the allocation of the next patient to be included in the study (concealment of random allocation)"
Allocation concealment (selection bias) Low risk Based on translation
"....were assigned by an automatic method after the preparation of a spreadsheet (MS Excel) using the function ‐random tool where the researcher did not know the allocation of the next patient to be included in the study (concealment of random allocation)"
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not able to assess
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not able to assess
Selective reporting (reporting bias) Unclear risk Not able to assess
Other bias Unclear risk Not able to assess