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. 2016 Aug 5;2016(8):CD003034. doi: 10.1002/14651858.CD003034.pub4

Toplis 1988.

Methods Randomisation not specified. Concealment of allocation by envelope opened immediately before operation
Participants 200 non pregnant women at the Churchill Hospital, Oxford
Interventions Spring‐loaded clip (Hulka‐Clemens) versus Filshie clip (titanium clip) via laparoscopy
Outcomes Operative morbidity, operative time, complaints
Notes Interval sterilisation
Authors as the only surgeons
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Low risk Concealment of allocation by envelope opened immediately before operation
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Two women from the Hulka clip group were excluded from the study because of technical failure
Selective reporting (reporting bias) Unclear risk Unable to determine
Other bias Unclear risk Unable to determine. Women in the Filshie group were slightly heavier than those in the Hulka clip group