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

Jamal 2009.

Methods RCT, unblinded.
Participants 49 participants. 45 men, 4 women. Mean age 26.44 years. New and recurrence sinuses.
Interventions Open healing (open excision and secondary healing) vs off‐midline closure (rhomboid excision and classic Limberg flap).
Outcomes Healing time, recurrence, SSI, operating time, pain, other complications.
Notes Follow up of about 92% at 18 months average.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Quote: "Blocked randomization was used". No information of the process of selection (e.g. random number table, or computer random number generation)
Allocation concealment? Unclear risk Not reported.
Incomplete outcome data addressed? 
 All outcomes High risk Exclusion criteria were cases with incomplete participant data and participants who were lost to follow up.
Free of selective reporting? Unclear risk Element of under reporting: Not enough information to extract operative time.
Free of other bias? Unclear risk All participants were operated under general or spinal anaesthesia. No information on the number of participants who had general or spinal anaesthesia by intervention.