Chana 1993.
Methods |
RCT Methods to control for contributory patient factors: none described |
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Participants |
Age: not reported Gender: not reported Type of incision: no group‐wise data were reported; overall: transverse 58.8%, vertical 20.6%, oblique 20.6% Type of surgery: emergent 55.9% (overall) Contamination classification of included participants: contaminated: 64.7% (overall) Pre‐operative antibiotic use: no information provided Prognostic patient factors: Group 1: malnutrition 53.0% Group 2: malnutrition 58.8% Inclusion criteria: infants and children < 12 years who underwent laparotomy Exclusion criteria: none explicitly mentioned |
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Interventions |
Comparisons reported: Group 1 Suture: polyglactin‐910 (multifilament, fast absorbable) Suturing technique: interrupted, 'figure‐of‐eight' Closure method: mass Group 2: Sutures: polyglactin‐910 (multifilament, fast absorbable) Suturing technique: continuous Closure method: layered Surgeon characteristics: no information provided |
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Outcomes |
Incisional hernia: no definition provided Follow‐up duration: unclear duration Wound infection: no definition provided Wound dehiscence: no definition provided Suture sinus or fistula: no definition provided |
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Notes | Incisions in group 1 included upper transverse and midline. Incisions in group 2 included transverse, subcostal and paramedian Hernia data excluded from analysis due to unclear follow‐up duration |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "...randomly allocated..." |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No losses to follow‐up were reported |
Selective reporting (reporting bias) | Low risk | There was no evidence of selective reporting |
Other bias | Low risk | The study appears to be free of other sources of bias |