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. 2017 Nov 3;2017(11):CD005661. doi: 10.1002/14651858.CD005661.pub2

Chana 1993.

Methods RCT
Methods to control for contributory patient factors: none described
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
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
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
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
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