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. 2012 Apr 18;2012(4):CD001543. doi: 10.1002/14651858.CD001543.pub4

Kingsnorth 1992.

Methods Single centre, two arms RCT of Shouldice vs Plication Darn (Bassini modified). 
 Randomization: generation of sequence not stated, allocation concealment: randomizations just before skin incision. 
 Maximum follow up: 2 years. 
 Exclusions after randomizations: no. 
 Intention to treat analyses. 
 Losses to follow up: 98 (reasons not specified). 
 Jadad quality score: 3.
Participants Country: UK. 
 Setting: centre not specialized in hernia repair. 
 Total enrolled patients: 322; 322 hernias (151 Shouldice vs 171 Plication Darn). 
 Mean age: Shouldice 58,3; Plication Darn 57. 
 Gender: 304 M; 18 F 
 Inclusion criteria: age>18, primary inguinal hernia, elective repair. 
 Exclusion criteria: no known. 
 Demographic and baseline data reported: comparability for age, type of hernia, sex (all data reported).
Interventions Shouldice (n=151). Technical notes not specified. 
 Plication Darn (Bassini modified) (n=171).
Outcomes Recurrence (definition of recurrence not reported). 
 Lenght of postoperative stay. 
 Wound infection. 
 Haematoma.
Notes Recurrence at 2 years follow up assessed by a consultant or a surgical registrar or pro forma in 224 patients. 
 Recurrence at 4 years follow up only in 61 (18,9%) patients so data from this follow up will not be considered. 
 Conflict of interest: not reported. 
 Sources of funding: not reported.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate