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

Corman 1981.

Methods RCT
Methods to control for contributory patient factors: "Patients were further classified according to septic or contaminated status and whether or not steroids were required."
Participants Age: no information provided
Gender: no information provided
Type of incision: no information provided
Type of surgery: overall: sigmoid colectomy 25%, right colectomy 20%, proctocolectomy 11%, low anterior resection 4%, Hartmann resection 3%, transverse colectomy 3%, other 11%
Contamination classification of included participants: no information provided
Pre‐operative antibiotic use: no information provided
Prognostic patient factors: a total of 86 participants (53%) were operated for malignancy
 Sepsis: 8.9% in group 1, 9.4% in group 2 and 6.8% in group 3
Inclusion criteria: consecutive patients having a bowel operation employing a midline incision
Exclusion criteria: none described
Interventions Comparisons reported:
Group 1
 Suture: nylon (multifilament, non‐absorbable)
 Suturing technique: interrupted, simple
 Closure method: mass
 Group 2:
 Suture: polypropylene (monofilament, non‐absorbable)
 Suturing technique: interrupted, simple
 Closure method: mass
Group 3:
 Suture: polyglactin‐910 (multifilament, fast absorbable).
 Suturing technique: interrupted, simple
 Closure method: mass
Surgeon characteristics: no clear information; "All procedures were performed by or under the direction of one of the three authors"
Outcomes Wound infection: no definition provided
Follow‐up duration: mean follow‐up was 19 months overall; no group‐wise data available
 Incisional hernia: no definition provided
 Wound dehiscence: no definition provided
 Suture sinus or fistula: no definition provided
Notes Hernia data excluded from analysis due to unclear follow‐up duration
Groups 1 and 2 combined for analysis of absorbable versus non‐absorbable sutures
Groups 1 and 3 combined for analysis of monofilament versus multifilament sutures
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "...the suture material to be used was randomly selected using a computer."
Allocation concealment (selection bias) Unclear risk "...the suture material to be used was randomly selected using a computer."
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk No information provided
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants analysed in the group they were assigned
Selective reporting (reporting bias) Unclear risk Unclear length of follow‐up for incisional hernia outcomes
Other bias Low risk The study appears to be free of other sources of bias