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CTRI Number  CTRI/2024/07/071127 [Registered on: 23/07/2024] Trial Registered Prospectively
Last Modified On: 09/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study comparing the use of skin staples versus polypropylene sutures in Inguinal hernia repair for mesh fixation.  
Scientific Title of Study   Study comparing the use of skin staples versus polypropylene sutures in inguinal hernia repair for mesh fixation - a prospective randomised control trial 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mridulika Verma 
Designation  Junior Resident, General Surgery 
Affiliation  KAHERs JAWAHARLAL NEHRU MEDICAL COLLEGE 
Address  Jawaharlal Nehru Medical College, Belagavi
KAHERs JAWAHARLAL NEHRU MEDICAL COLLEGE, Belagavi, Karnataka
Belgaum
KARNATAKA
590010
India 
Phone  9528735124  
Fax    
Email  mridulikaverma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Anilkumar P. Bellad 
Designation  Professor 
Affiliation  KAHERs JAWAHARLAL NEHRU MEDICAL COLLEGE 
Address  House number 147, Shree Basava Krupa, 1st Main, 3rd Cross Sadashivnagar, Belagavi
KAHERs JAWAHARLAL NEHRU MEDICAL COLLEGE, Belagavi, Karnataka
Belgaum
KARNATAKA
590001
India 
Phone  9448112599  
Fax    
Email  anilbellad@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mridulika Verma 
Designation  Junior Resident, General Surgery 
Affiliation  KAHERs JAWAHARLAL NEHRU MEDICAL COLLEGE 
Address  Jawaharlal Nehru Medical College, Belagavi
KAHERs JAWAHARLAL NEHRU MEDICAL COLLEGE, Belagavi, Karnataka
Belgaum
KARNATAKA
590010
India 
Phone  9528735124  
Fax    
Email  mridulikaverma@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Nehru Medical College, Nehru Nagar, Belgaum-590010 Karnataka, India 
 
Primary Sponsor  
Name  Mridulika Verma 
Address  Jawaharlal Nehru Medical College, Nehru Nagar, Belgaum-590010 Karnataka, India 
Type of Sponsor  Other [SELF] 
 
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 Mridulika Verma  Jawaharlal Nehru Medical College  Department of General Surgery, Jawaharlal Nehru Medical College, Nehru Nagar, Belgaum-590010 Karnataka, India
Belgaum
KARNATAKA 
9528735124

mridulikaverma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N509||Disorder of male genital organs, unspecified, (2) ICD-10 Condition: O||Medical and Surgical, (3) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Polypropylene Sutures  Mesh fixation done using conventional polypropylene sutures. The post operative pain is assessed 24 hours after the procedure. 
Intervention  Skin Staplers  Mesh fixation done using skin staplers instead of regular polypropylene sutures. The post operative pain assessment is done 24 hours after the procedure. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  age between 18-60 years
sex :- both male and female ( non pregnant , non lactating )
non diabetic
patients willing to give informed consent  
 
ExclusionCriteria 
Details  Complicated inguinal hernias
diabetes mellitus
chronic renal failure
immunocompromised patients
recurrent hernias
bleeding disorders 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Assessment of post operative pain and operative time duration in Lichtenstein inguinal hernia repair when mesh is fixed using skin staplers. The post operative pain and operative duration is less when skin staplers are used to fix the mesh as compared to polypropylene sutures.  Pain is assessed 24 hours after surgery.  
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of intraoperative time period  1 hr 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   01/08/2024 
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)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   Lichtenstein Inguinal hernia repair is a fairly common procedure with common postoperative complications like pain and surgical site  infections. The study comparing the use of skin staples versus polypropylene sutures in inguinal hernia repair for mesh fixation demonstrates that there is reduction in pain and the operative time duration as compared to the conventional technique of mesh fixation with sutures. Reduced operative time also has shown to minimise the risk of wound infections . 
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