Derzie 2000.
Methods |
RCT Methods to control for contributory patient factors: none described |
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Participants |
Age: no information provided Gender: no information provided Types of incisions: no information provided Type of surgery: Group 1: Roux‐en‐Y gastric bypass 83.1%, vertical banded gastroplasty 2.3%, revision procedures 14.5%, additional cholecystectomy 14.0% Group 2: Roux‐en‐Y gastric bypass 84.3%, vertical banded gastroplasty 6.9%, revision procedures 8.8%, additional cholecystectomy 13.8% Contamination classification of included participants: no information provided Preoperative antibiotic use: all participants received either cefazolin or gentamicin and vancomycin (if allergic to penicillins) Prognostic patient factors: all participants were morbidly obese Inclusion criteria: none described Exclusion criteria: none described |
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Interventions |
Comparisons reported: Group 1: Sutures: nylon (in first 196 participants randomised), PDS (in the last 135 participants randomised) Suturing technique: continuous Closure method: mass Group 2: Sutures: nylon (in first 196 participants), PDS (in the last 135 participants) Suturing technique: interrupted, "figure‐of‐8" Closure method: mass Surgeon characteristics: no information provided |
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Outcomes |
Incisional hernia: not measured Wound infection: local or systemic inflammation and collection of purulent subcutaneous fluid from wound Deep wound complications: included deep surgical site infections and fascial dehiscence |
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Notes | Follow‐up duration: "All wounds were monitored for 30 postoperative days." Dehiscence (n = 2) were not separated from "wound complications". All "wound complications" analysed as wound infection | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | "All patients were randomised by odd or even medical record number at the time of fascial closure to either continuous or interrupted fascial closure." |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not described |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not clearly 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 |