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CTRI Number  CTRI/2026/02/102668 [Registered on: 02/02/2026] Trial Registered Prospectively
Last Modified On: 31/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Efficacy of intradermal methylene blue injection on postoperative Pain relief in haemorrhoidectomy - a randomized control study 
Scientific Title of Study   Efficacy of intradermal methylene blue infiltration on postoperative analgesia in haemorrhoidectomy - a randomized control 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  Sushanta Kumar Das 
Designation  Professor 
Affiliation  Kalinga Institute of Medical Sciences 
Address  Department of General Surgery, Kalinga Institute of Medical Sciences Kushabhadra Campus, 5, KIIT Rd, Bhubaneswar, Odisha 751024, India

Khordha
ORISSA
751024
India 
Phone  9238507404  
Fax    
Email  sushanta.das@kims.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Rishi Middha 
Designation  Post Graduate Trainee 
Affiliation  Kalinga Institute of Medical Sciences 
Address  Department of General Surgery, Kalinga Institute of Medical Sciences Kushabhadra Campus, 5, KIIT Rd, Bhubaneswar, Odisha 751024, India

Khordha
ORISSA
751024
India 
Phone  8826423431  
Fax    
Email  rishimiddha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rishi Middha 
Designation  Post Graduate Trainee 
Affiliation  Kalinga Institute of Medical Sciences 
Address  Department of General Surgery, Kalinga Institute of Medical Sciences Kushabhadra Campus, 5, KIIT Rd, Bhubaneswar, Odisha 751024, India

Khordha
ORISSA
751024
India 
Phone  8826423431  
Fax    
Email  rishimiddha@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Rishi Middha 
Address  DEPARTMENT OF GENERAL SURGERY, KALINGA INSTITUTE OF MEDICAL SCIENCES 
Type of Sponsor  Other [SELF FUNDED] 
 
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 
Rishi Middha  Kalinga Institute of Medical Sciences  Department of surgery, 1st Floor, KIMS, Kushabhadra Campus, 5, KIIT Rd, Bhubaneswar, Odisha 751024, India
Khordha
ORISSA 
8826423431

rishimiddha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC KIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K642||Third degree hemorrhoids, (2) ICD-10 Condition: K643||Fourth degree hemorrhoids,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Bupivacine  Intradermal Bupivacaine infiltration in perianal skin post haemorrhoidectomy 
Intervention  Methylene Blue with Bupivacaine  Intradermal Methylene Blue with Bupivacaine infiltration in perianal skin post haemorrhoidectomy 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients undergoing haemorrhoidectomy in KIMS, Deparment of General Surgery 
 
ExclusionCriteria 
Details  - Pregnant and Breast feeding female
- Allergic to Methlene Blue
- Patient having any other perianal condition
- Patient not giving consent to be a part of the study 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Measurement of Visual Analogue Score on DAYS 1-3  Day 1 and Day 3 
 
Secondary Outcome  
Outcome  TimePoints 
Comparision of decrease in requirement of postoperative analgesics between the two groups  Day 1 & Day 3 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
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 
Date of First Enrollment (India)   12/02/2026 
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="2"
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   THIS STUDY IS BEING DONE IN AN EFFORT TO REDUCE THE POST OPERATIVE PAIN AND THE NEED FOR POST OPERATIVE ANALGESIA IN CASE OF HAEMORRHOIDECTOMY WITH THE HYPOTHESIS BEING THAT INTRADERMAL PERIANAL INFILTRATION OF METHYLENE BLUE RESULTS IN A DECREASE IN THE POSTOPERATIVE PAIN DUE TO TEMPORARY ABLATION OF CUTANEOUS NERVE ENDINGS BY BLOCKING VOLTAGE GATED SODIUM CHANNELS 
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