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CTRI Number  CTRI/2025/04/084321 [Registered on: 07/04/2025] Trial Registered Prospectively
Last Modified On: 06/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [HERNIA MESH ]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Reducing pain after hernia surgery: Comparing two type of meshes  
Scientific Title of Study   To compare self-fixating polypropylene mesh versus 3D anatomical polypropylene mesh in laparoscopic trans abdominal preperitoneal hernioplasty: A Randomized Controlled trial  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR Jarapala Venu Madhav 
Designation  Senior Resident  
Affiliation  AIIMS NEW DELHI 
Address  Department of Surgical Disciplines Minimal access and general surgery

New Delhi
DELHI
110029
India 
Phone  9603108543  
Fax    
Email  madhavv695@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunil Chumber  
Designation  PROFESSOR and HOD 
Affiliation  Aiims New Delhi 
Address  Dept of Surgical Disciplines Aiims New Delhi
4th Floor Surgery Block Dept of Surgical Disciplines Aiims New Delhi
New Delhi
DELHI
110029
India 
Phone  9871060404  
Fax    
Email  sunil_chumber@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Hemanga Kumar Bhattacharjee 
Designation  Profesor  
Affiliation  AIIMS NEW DELHI 
Address  Department of Surgical Disciplines

New Delhi
DELHI
110029
India 
Phone  7838621562  
Fax    
Email  dr_hkb75@yahoo.com  
 
Source of Monetary or Material Support  
The cost will be borne by AIIMS, New Delhi research section under an institutional grant. All India institute of medical sciences New Delhi 110029 
 
Primary Sponsor  
Name  Aiims New Delhi 
Address  Aiims New Delhi 
Type of Sponsor  Research institution and hospital 
 
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 Venu Madhav  Aiims New Delhi  4th Floor Surgery Block Dept of Surgical Disciplines Aiims New Delhi
New Delhi
DELHI 
9603108543

madhavv695@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics committee AIIMS New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K409||Unilateral inguinal hernia, without obstruction or gangrene,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  3D anatomical polypropylene mesh  3D anatomical polypropylene mesh will be placed in standard TAPP hernioplasty. 
Intervention  Self-fixating mesh   Self fixating mesh will be placed in standard TAPP hernioplasty. Study will be done for 1 year 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Male 
Details  Patients with unilateral inguinal hernia planned for elective transabdominal preperitoneal hernioplasty. 
 
ExclusionCriteria 
Details  Irreducible hernia
Intra-operative diagnosis of B/L inguinal hernia
History of lower abdominal surgery
Chronic groin pain
Chronic analgesics abuser
Any concomitant procedure planned 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Post operative pain at 20-24 hrs following surgery in terms of Visual analogue scale (VAS).
 
20-24 hrs following surgery
 
 
Secondary Outcome  
Outcome  TimePoints 
Mesh deployment time

 
Intraoperative 
Surgeons satisfaction score   intraoperative 
chronic pain and recurrence  3 months 
Quality of life of the patients  3 months 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
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 3/ Phase 4 
Date of First Enrollment (India)   21/04/2025 
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="8"
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  

Inguinal hernia is one of the most common problems in the surgical patients. Various types of meshes are used for the repair of inguinal hernia. In this study, the use of 3D anatomical mesh with tacker fixation, provide structural support but may lead to issues related to mesh fixation. Self-grip mesh, by adhering directly to tissue without tackers, offers a potentially beneficial alternative like less post operative pain. We propose this randomised trial to compare self-fixating mesh and 3D anatomical mesh. 

 
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