Gammelgaard 1983.
Methods |
RCT Methods to control for contributory patient factors: none |
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Participants |
Age: Group 1 (median): 34 Group 2 (median): 38 Gender: Group 1: 63% female Group 2: 60% female Type of incision: Group 1: angular 13.9%, longitudinal 43.0%, transverse/oblique 43.0% Group 2: angular 10.1%, longitudinal 46.5%, transverse/oblique 40.9% Type of surgery: Group 1: emergency 29.0%; biliary 22.5%, gastric/duodenal 20.5%, intestinal 11.3%, appendectomy 24.5%, internal genitalia 21.2% Group 2: emergency 34.2%; biliary 20.1%, gastric/duodenal 19.5%, intestinal 10.1%, appendectomy 25.8%, internal genitalia 22.0% Contamination classification of included participants: not described Pre‐operative antibiotic use: not reported Prognostic patient factors: Group 1: obesity 34.4%, malignancy 15.2% Group 2: obesity 28.4%, malignancy 12.2% Inclusion criteria: consecutive abdominal incisions, either emergency or elective, for operations of the gastrointestinal tract or internal genital organs Exclusion criteria: hernioplasties, McBurney incisions, re‐operations within the follow‐up period, incisions in preparation for stoma operations, patients receiving steroids and non‐Danish patients |
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Interventions |
Comparisons reported: Group 1 Suture: polyglactin‐910 (multifilament, fast absorbable) Suturing technique: peritoneum ‐ continuous, fascia ‐ interrupted Closure method: layered Group 2: Sutures: PGA (multifilament, fast absorbable) Suturing technique: peritoneum ‐ continuous, fascia ‐ interrupted Closure method: layered Characteristics of surgeons: not reported |
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Outcomes |
Incisional hernia: no definition provided Follow‐up duration: 6 months Wound infection: defined as "wound abscess" Wound dehiscence: not defined Sinus or fistula tract: not defined |
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Notes | Hernia data excluded from analysis due to inadequate follow‐up duration | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding (performance bias and detection bias) All outcomes | Low risk | Outcomes assessors blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All participants accounted for and analysed |
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 |