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CTRI Number  CTRI/2024/03/064182 [Registered on: 15/03/2024] Trial Registered Prospectively
Last Modified On: 19/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Choice of closure of skin for midline abdominal surgeries 
Scientific Title of Study   Conventional sutures vs staplers for closure of skin in midline laparotomy wounds 
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 Shetty Ashish Naveena 
Designation  Junior resident  
Affiliation  Kasturba hospital, Manipal 
Address  Department of general surgery, Kasturba medical college, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9821697085  
Fax    
Email  ashish.kmcmpl2023@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Annappa Kudva 
Designation  Professor and head of unit 
Affiliation  Kasturba hospital, Manipal 
Address  Department of general surgery, Kasturba medical college, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9448857394  
Fax    
Email  annappa.kudva@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Jithin Abraham Jacob 
Designation  Assistant professor 
Affiliation  Kasturba hospital, Manipal 
Address  Department of general surgery, Kasturba medical college, MAHE, Manipal


KARNATAKA
576104
India 
Phone  9632883146  
Fax    
Email  jithin.abraham@manipal.edu  
 
Source of Monetary or Material Support  
Department of general surgery, kasturba hospital, Manipal 
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [NA] 
 
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 Shetty Ashish Naveena  Kasturba Hospital, Manipal  Department of general surgery, 3rd floor new opd block, Kasturba hospital, Manipal 576104
Udupi
KARNATAKA 
9821697085

ashish.kmcmpl2023@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba medical college and Kasturba hospital institutional Ethics Committee-2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L768||Other intraoperative and postprocedural complications of skin and subcutaneous tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1)Patient undergoing midline laparotomy in Department of General Surgery, Kasturba hospital Manipal
2)Patient older than 18 years of age
3)Patient consenting to be a part of the study 
 
ExclusionCriteria 
Details  1)Patient not willing to participate in the study 2)patient failing to follow up
3)Patient less than 18 years of age
4)Previous h/o laparotomy
5)Previous h/o keloid/hypertrophic scar 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare surgical site infection and postoperative pain in sutures vs staplers for closure of skin in midline laparotomy wounds  postoperative day 1,3,7- for postoperative pain and surgical site infection 
 
Secondary Outcome  
Outcome  TimePoints 
Time taken for closure of skin and final cosmetic appearance of scar in sutures vs staplers for closure of skin in midline laparotomy wounds  Intraoperative - for time taken for closure of skin
Postoperative day 30- for final cosmetic appearance 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   27/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
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  
Patient will be approached for participating in the study and will be explained the details of this study. Once the patient agrees, informed consent will be taken. The case will then be recruited into the study in either Sutures or Staplers group depending on intra-operative decisions made by the treating surgeon. There will be no pre study randomization. We will assess the factors like time taken for closure of skin, post-operative pain on immediate post-operative
days(POD) as follows- POD1, POD3 and POD 7. We will also assess postoperative complications like surgical site infection, days of hospital stay after surgery and patients will be followed up at the end of 1 month on OPD basis to assess final cosmetic appearance of scar.
 
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