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CTRI Number  CTRI/2025/03/082172 [Registered on: 12/03/2025] Trial Registered Prospectively
Last Modified On: 11/03/2025
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   A study comparing results of mesh placement in umbilical hernia surgery in 2 different planes of abdomen with one group mesh placed above abdominal wall muscle and other between the layers of abdominal wall muscle  
Scientific Title of Study   A Comparative study of outcomes of onlay and retro rectus mesh repair in the management of umbilical hernia 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  Archana N 
Designation  PG student  
Affiliation  Bangalore medical college and research institute Karnataka 
Address  Department of General surgery,Victoria hospital ,Bangalore medical and research institute

Bangalore
KARNATAKA
560018
India 
Phone  8892356976  
Fax    
Email  archn567@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kemparaj T 
Designation  Professor 
Affiliation  Bangalore medical college and research institute Karnataka 
Address  Department of General surgery,Victoria hospital, Bangalore medical college and research institute

Bangalore
KARNATAKA
560002
India 
Phone  9448455040  
Fax    
Email  dkemprajt@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  Dr Kemparaj T 
Designation  PROFESSOR 
Affiliation  Bangalore medical college and research institute Karnataka 
Address  Department of General surgery ,Victoria hospital ,Bangalore medical college and research institute

Bangalore
KARNATAKA
560002
India 
Phone  9448455040  
Fax    
Email  dkemprajt@yahoo.in  
 
Source of Monetary or Material Support  
Department of General surgery Victoria hospital BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE , fort,Krishna Rajendra road Bangalore Karnataka 560002 india  
 
Primary Sponsor  
Name  Bangalore medical College and research institute  
Address  Department of General Surgery,Victoria hospital,Bangalore medical college and research institute Fort, Krishna Rajendra road Bangalore Karnataka 560002 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
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 Archana N  Bangalore medical college and research institute   Department of General surgery,Victoria hospital,Bangalore medical college and research institute, Victoria hospital , Fort, Krishna Rajendra road 560002
Bangalore
KARNATAKA 
8892356976

archn567@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
bangalore medical college and research institue  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K429||Umbilical hernia without obstruction or gangrene, (2) ICD-10 Condition: K429||Umbilical hernia without obstruction or gangrene, (3) ICD-10 Condition: K429||Umbilical hernia without obstruction or gangrene,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  RETRORECTUS MESH REPAIR in umbilical hernia   Mesh is placed in retro rectus plane between rectus muscle and posterior rectus sheath for umbilical hernia  
Intervention  Onlay mesh repair in umbilical hernia  mesh placed above the rectus sheath in onlay mesh repair for umbilical hernia  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients with umbilical hernia
Patients giving informed consent  
 
ExclusionCriteria 
Details  Patient not giving consent
Divarication of recti
Recurrent umbilical hernia 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
POST OPERATIVE PAIN
 
Post operative day 1,2,3 
 
Secondary Outcome  
Outcome  TimePoints 
SURGICAL SITE INFECTION
POSTOPERATIVE HOSPITAL STAY 
POST OPERATIVE DAY 3 & 5
Those staying less than 3 days or those staying more than 3 days  
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   23/03/2025 
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 Applicable 
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   Umbilical hernia is protrusion of viscus or part of viscus through a defect in anterior abdominal wall in the umbilical region ,there are various treatment modalities for umbilical hernia such as in lay mesh , retro rectus mesh repair, preperitoneal mesh repair,  IPOM. Retro rectus mesh repair is better than Onlay mesh repair. onlay repair has more complications such as surgical site infection , increased duration of hospital stay, more post op pain compared to retro rectus mesh repair. studies have shown that retro rectus mesh repair has better outcomes than onlay meh repair, hence my study aims to prove the same  
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