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

Gammelgaard 1983.

Methods RCT
Methods to control for contributory patient factors: none
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
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
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
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