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. 2011 Sep 7;2011(9):CD001544. doi: 10.1002/14651858.CD001544.pub4

Van't Sant 2010.

Methods It is a subgroup analysis of a prior large multicenter performed by Contant et al.
Randomisation: computer‐generated randomisation list; participants were allocated to each intervention by means of numbered sealed envelopes that corresponded to the randomisation list.
Blinding: none.
Withdrawal/dropouts: not described.
Follow‐up: first outpatients visit after discharge from the hospital which usually occurred after 2 weeks.
Participants Inclusion criteria: elective low anterior resection with primary anastomosis.
Exclusion criteria: acute laparotomy, laparoscopic colorectal surgery, contraindications for the use of mechanical bowel preparation, an a priori diverting ileostomy, and age less than 18 years old.
Diseases: colorectal cancer, inflammatory bowel disease, other.
Participants: 449 (no details about gender).
Age: not described.
Location of study: Netherlands (13 hospitals).
Date: April 1998 ‐ February 2004.
Antibiotics: according to the guideline of each hospital: cefuroxime + metronidazole, cefazolin + metronidazole, cefamandole + metronidazole, gentamycin + metronidazole, amoxicillin + clavulanate, and others.
Interventions Group A ‐ Mechanical bowel preparation (n = 236): PEG + bisacodyl (11 hospitals) or sodium phosphate solution (2 hospitals); fluid diet on the day before surgery. 
 Group B ‐ normal meals (n = 213).
Outcomes Anastomotic dehiscence: Group A = 18; Group B = 14.
Wound infection: Group A = 39; Group B = 36.
Intraabdominal abscess: Group A = 6; Group B = 9.
Mortality: Group A = 7; Group B = 9.
Urinary tract infection: Group A = 34; Group B = 26.
Pneumonia: Group A = 16; Group B = 20.
Fascia dehiscence: Group A = 7; Group B = 2.
Overall complications: Group A = 92 (39%); Group B = 83 (39%).
Notes Diverting ileostomy: n = 48 (no stoma = 401).
Stoma: Group A = 27; Group B = 21.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate