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CTRI Number  CTRI/2024/06/069381 [Registered on: 24/06/2024] Trial Registered Prospectively
Last Modified On: 30/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A surgical trial to study the comparison of two different stitch technique (long and short) for the healing of wound following the surgery to open the belly area(abdomen). 
Scientific Title of Study   Comparison of wound outcome in short and long stitch sheath closure following emergency exploratory laparotomy 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Akshita 
Designation  Post Graduate Resident  
Affiliation  Vardhman Mahavir Medical College & Safdarjung Hospital 
Address  Department of General Surgery VMMC & Safdarjung Hospital, New Delhi

South West
DELHI
110029
India 
Phone  9582673437  
Fax    
Email  akshita.akshita.54@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Indu Bhushan Dubey 
Designation  Associate Professor 
Affiliation  Vardhman Mahavir Medical College & Safdarjung Hospital 
Address  Department of General Surgery VMMC & Safdarjung Hospital, New Delhi

South West
DELHI
110029
India 
Phone  9868831328  
Fax    
Email  dribdubey@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Indu Bhushan Dubey 
Designation  Associate Professor 
Affiliation  Vardhman Mahavir Medical College & Safdarjung Hospital 
Address  Department of General Surgery VMMC & Safdarjung Hospital, New Delhi

South West
DELHI
110029
India 
Phone  9868831328  
Fax    
Email  dribdubey@gmail.com  
 
Source of Monetary or Material Support  
Department of General Surgery, VMMC And SAFDARJUNG HOSPITAL, Ring Road Ansari Nagar, New Delhi, Delhi- 110029, India 
 
Primary Sponsor  
Name  No Sponsor 
Address  Not Applicable 
Type of Sponsor  Other [Not Applicable] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Akshita  SAFDARJUNG HOSPITAL, DELHI  New Emergency Building OT 2nd Floor, Department of General Surgery, VMMC And SAFDARJUNG HOSPITAL Ring Road Ansari Nagar New Delhi
South West
DELHI 
9582673437

akshita.akshita.54@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee VMMC and SJH VMMC And SAFDARJUNG HOSPITAL Ring Road Ansari Nagar New Delhi South Delhi Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Long Stitch Technique  Sheath closure will be done in continuous fashion by placing the sutures 1 cm from rectus edge with inter-suture distance of 1 cm from using 0’PDS suture single 150 cm thread with HR 40 mm needle.  
Intervention  Short Stitch Technique  Sheath closure will be performed in continuous fashion by placing the sutures 5 mm from rectus edge with an inter-suture distance of 5 mm from the wound edge performed using 0’PDS suture single 150 cm thread with HR 40 mm needle.  
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  INCLUSION CRITERIA:
1 Patients more than 12 years of age. 
 
ExclusionCriteria 
Details  EXCLUSION CRITERIA:
1 Pregnancy
2 Previous surgical procedures of the abdomen
3 Pathology not suitable for primary closure of rectus sheath
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The Wound outcome in both long and short stitch sheath closure according to WUWHS SWD grading system - I,Ia,II,IIa,III,IIIa,IV,IVa for incidence of wound dehiscence, surgical site
infection as per Southampton wound grading system - 0,I,II,III,IV,V and pain according to visual
analogue scale.
 
30 days 
 
Secondary Outcome  
Outcome  TimePoints 
The Wound outcome in both long and short stitch sheath closure according pain according to visual
analogue scale.
 
30 days 
 
Target Sample Size   Total Sample Size="94"
Sample Size from India="94" 
Final Enrollment numbers achieved (Total)= "94"
Final Enrollment numbers achieved (India)="94" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/06/2024 
Date of Study Completion (India) 30/07/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/07/2025 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study is an Observational Analytical, Randomized, Parallel Group Trial comparing the wound outcome in short stitch and long stitch sheath closure following laparotomy. The study would be conducted in a single centre in India - Department of General Surgery, VMMC & Safdarjung Hospital, New Delhi. 94 patients would be studied. The study period being 18 months.
The Objectives are the Comparison of the wound outcome in short and long stitch sheath closure following laparotomy in terms of Incidence of Surgical site infection using Southampton grading system; Incidence of wound dehiscence according to WUWHS (World Union of Wound Healing Societies) Sandy grading system; Time taken to close sheath with respect to size of incision and the Pain according to visual analogue scale.

Study Hypothesis - The wound outcome in short and long stitch sheath closure following laparotomy is comparable. 
 
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