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. 2010 Jan 20;2010(1):CD006213. doi: 10.1002/14651858.CD006213.pub3

Abu Galala 1999.

Methods RCT, unblinded.
Participants 46 participants. 37 men, 9 women, Mean age 22.5 years. New sinus presentation only.
Interventions Closed midline (midline primary closure) vs. closed off‐midline (rhomboid flap)
Outcomes SSI rate, recurrence rate, RTW, LOS, % healed wounds.
Notes Complete follow‐up at 18 months.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Quote: "Randomly allocated". No information about randomisation method.
Allocation concealment? Unclear risk Quote: "allocated by a system of sequentially numbered sealed envelopes". No information about whether envelopes were opaque.
Incomplete outcome data addressed? 
 All outcomes Unclear risk No data reported on exclusions, attrition or missing data.
Free of selective reporting? High risk Element of selective under‐reporting. Data on time to complete wound healing were reported for closed off‐midline group but not for the midline closure group.
Free of other bias? Low risk