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." |
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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 |
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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" |
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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 |
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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 |
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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 |