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CTRI Number  CTRI/2025/04/083868 [Registered on: 02/04/2025] Trial Registered Prospectively
Last Modified On: 01/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing Pain Relief Strategies for Open Inguinal Hernioplasty Ultrasound-Guided Ilioinguinal Nerve Block vs. Lignocaine 5 percent Patch 
Scientific Title of Study   EFFECT OF ULTRASOUND GUIDED ILIOINGUINAL NERVE BLOCK AND LIGNOCAINE 5 percent PATCH ON POSTOPERATIVE PAIN IN PATIENTS UNDERGOING OPEN INGUINAL HERNIOPLASTY: A RANDOMIZED COMPARATIVE STUDY  
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. Shreyanshi Teotia 
Designation  Junior Resident  
Affiliation  King Georges Medical University 
Address  King George Medical University, (Erstwhile Chhatrapati Shahuji Maharaj Medical University), Chowk, Lucknow, Uttar Pradesh.

Lucknow
UTTAR PRADESH
226003
India 
Phone  8218063326  
Fax    
Email  drshreyanshiteotia@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Sateesh Verma  
Designation   
Affiliation  King George Medical University 
Address  King George Medical University, (Erstwhile Chhatrapati Shahuji Maharaj Medical University), Chowk, Lucknow, Uttar Pradesh.

Lucknow
UTTAR PRADESH
226003
India 
Phone  7379837390   
Fax    
Email  Sateeshverma24@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SHREYANSHI TEOTIA 
Designation  Junior Resident  
Affiliation  King Georges Medical University 
Address  King George Medical University, (Erstwhile Chhatrapati Shahuji Maharaj Medical University), Chowk, Lucknow, Uttar Pradesh.

Lucknow
UTTAR PRADESH
226003
India 
Phone  8218063326  
Fax    
Email  drshreyanshiteotia@gmail.com  
 
Source of Monetary or Material Support  
Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh 226003 King Georges Medical University Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh 226003 
 
Primary Sponsor  
Name  King George Medical University Department of Anesthesiology  
Address  King George Medical University Department of Anesthesiology pincode 226003 
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 
DRSHREYANSHI TEOTIA  Department of Anaesthesiology   King George Medical University,room number 10 Chowk, Lucknow, Uttar Pradesh.
Lucknow
UTTAR PRADESH 
08218063326

drshreyanshiteotia@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
King George Medical University   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  Lignocaine 5% patch  The comparator agent in this study is the Lignocaine 5% Patch, a topical, slow-release patch containing 5% lignocaine, a local anesthetic. This patch works by releasing lignocaine slowly over time, providing analgesia to the skin and underlying tissues. It is indicated for relief of postoperative pain in patients undergoing open inguinal hernioplasty, and is applied topically to the skin overlying the inguinal region, providing prolonged analgesia that typically lasts several hours. 
Intervention  Ultrasound-guided ilioinguinal nerve block   Ultrasound-guided ilioinguinal nerve block: This intervention involves using ultrasound guidance to administer a local anesthetic block to the ilioinguinal nerve, which provides sensory innervation to the inguinal region. The goal of this block is to reduce postoperative pain in patients undergoing open inguinal hernioplasty.Lignocaine 5% patch: This intervention involves applying a topical patch containing 5% lignocaine (a local anesthetic) to the skin overlying the inguinal region. The patch is designed to release lignocaine slowly over time, providing analgesia to the area and reducing postoperative pain. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  all patients are scheduled for open hernioplasty surgery ASA I - II - III written form consent will be taken body weight 50-80 kg  
 
ExclusionCriteria 
Details  pregnancy or breastfeeding known allergy to components of the anesthesia drugs history of coagulopathy or bleeding disorders severe neurological or psychiatric disorders pre existing peripheral neuropathy
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
post operative VAS score   48 hours after surgery
 
 
Secondary Outcome  
Outcome  TimePoints 
patient satisfaction for pain management   48 hours post surgery  
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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 4 
Date of First Enrollment (India)   14/04/2025 
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="0"
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 hernioplasty is one of the common elective surgeries performed. It is associated with mild to moderate pain. Ilioinguinal block minimizes pain after tissue injury, avoid spinal sensitization, and diminish the prevalence of chronic pain. The use of ultrasound technique in nerve block will allow real-time visualization of the nerves and drug distribution, so less drug will be needed and less side effects.

The lidocaine (5%) patch offers a double mode of action in the treatment of localized neuropathic pain, delivering a mechanical barrier effect as well as pharmaceutical action through voltage-gated sodium-channel block by lidocaine activity,

By conducting this study we want to compare analgesic effect of ilioinguinal nerve block and lignocaine 5% patch in patient undergoing inguinal hernioplasty.
 
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