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. 2013 Dec 4;2013(12):CD001421. doi: 10.1002/14651858.CD001421.pub3

Doyle 1992.

Study characteristics
Methods RCT
Participants 182 women undergoing Large Loop Excision of the Transformation Zone (LLETZ) of the cervix.
Interventions Monsel's Solution applied to cervical wound.
No extra treatment.
Outcomes Discharge as measured subjectively by women on daily sanitary pad chart.
Notes 50 women failed to complete their follow‐up questionnaires excluded from analysis.
2 women had primary haemorrhages, 5 women were deemed to be unsuitable after randomisation.
Assumed that randomisation is 1:1 so 63 randomised to Monsel's solution and 62 randomised to control, "it was calculated that by entering 60 patients into each arm of the study, there would be a greater than 85% chance of detecting a fall of 25% in the discharge score ...".
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Low risk "The women were randomised ... by sealed opaque envelope to either the control or the Monsel's group".
Blinding (performance bias and detection bias)
All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias)
All outcomes High risk For all outcomes:
% analysed: 125/182 (69%)
Selective reporting (reporting bias) Unclear risk Insufficient information to permit judgement
Other bias Unclear risk Insufficient information to assess whether an important risk of bias exists