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. 2020 Jul 17;2020(7):CD001298. doi: 10.1002/14651858.CD001298.pub5

Jansen 1990.

Study characteristics
Methods Truly randomised trial (random number sequence)
Timing of randomisation: not stated
Factorial design
Power calculation: yes
Location: Sydney, Australia
Timing and duration: not stated
Participants Infertile women undergoing open gynaecological microsurgery
Condition: pelvic adhesions, endometriosis, or both
Surgery performed: adhesiolysis; excision of endometriosis
Pre‐existing adhesions: 75 women
Age: not stated
Duration infertility: not stated
Infertility work‐up: not stated
Number randomly assigned: 95 (no exclusions stated)
Number analysed: 93 for comparison 1; 95 for comparison 2
Timing second‐look laparoscopy: 10 or 12 days postoperative
Blinding at second‐look laparoscopy: not stated
Interventions 1. Promethazine versus no treatment
Route of administration: systemic (oral and IM)
Dosage/volume: 50 mg oral 6 hours preoperatively and 50 mg IM intraoperatively
2. Postoperative steroids versus no treatment
Route of administration: systemic (oral)
Dosage/volume: postoperative prednisone 25 mg oral twice a day for 4 days, then 25 mg daily until SLL
Other adjuvants: all women received systemic preoperative (50 mg prednisone 8 hours preoperatively) and intraoperative (24 mg dexamethasone IV) steroids
Prophylactic antibiotics: yes
Outcomes Analysed in review
Adhesions at second‐look laparoscopy
  1. Improvement; no change; deterioration


Other outcomes: adhesions at second‐look laparoscopy
  1. Change in score

Notes Adhesion scoring system used
Modified American Fertility Society endometriosis scoring system (range 0 to 27)
Data obtained from review article and investigator himself
Some study information supplied in correspondence from study authors
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Stated that study was randomised, but method not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not stated
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not stated
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Not stated
Selective reporting (reporting bias) Unclear risk Data presented in full for all outcomes specified, however, no study protocol or trial registry identified for comparison
Other bias Low risk