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CTRI Number  CTRI/2026/03/105672 [Registered on: 09/03/2026] Trial Registered Prospectively
Last Modified On: 06/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   A Study to Compare Two Different types of Surgical Stitches Used To Close Abdominal Wound 
Scientific Title of Study   Efficacy Of Barbed Sutures Versus Delayed Absorbable Polydiaoxanome Sutures in Abdominal Sheath Closure A Randomised 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  Hardeep Singh 
Designation  Junior Resident 
Affiliation  Sri Guru Ramdas university of health sciences  
Address  Surgery unit 6 , 2nd floor , south division , room no.4 SGRD, VALLAH , AMRITSAR

Amritsar
PUNJAB
143005
India 
Phone  9079764059  
Fax    
Email  hardeepsinghhmh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mohit Sharma 
Designation  Professor General Surgery 
Affiliation  Sri Guru Ramdas university of health sciences 
Address  Surgery unit 6 , 2nd floor , south division , room no.2 SGRD, VALLAH , AMRITSAR

Amritsar
PUNJAB
143005
India 
Phone  9814651788  
Fax    
Email  drmohit.gis@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mohit Sharma 
Designation  Professor General Surgery 
Affiliation  Sri Guru Ramdas university of health sciences 
Address  Surgery unit 6 , 2nd floor , south division , room no.2 SGRD, VALLAH , AMRITSAR

Amritsar
PUNJAB
143005
India 
Phone  9814651788  
Fax    
Email  drmohit.gis@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Sri Guru Ramdas University of Health Sciences 
Address  Department of Surgery Sri Guru Ramdas University of Health Sciences amritsar punjab 143001  
Type of Sponsor  Private 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 Hardeep Singh  Sri Guru Ramdas charitable hospital, vallah  ROOM NUMBER 2, SURGERY SECOND FLOOR, UNIT 6, SGRDUHS, VALLAH
Amritsar
PUNJAB 
9079764059

hardeepsinghhmh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K929||Disease of digestive system, unspecified, (2) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Barbed suture   Closure of abdominal sheath with barbed suture followed up for 3 months. 
Comparator Agent  Delayed Absorbable Polydiaoxanone Suture  Closure of Abdominal sheath with delayed absorbable polydioxanone suture followed up for 3 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Patients aged 18 to 65 years undergoing elective midline laparotomy requiring abdominal sheath closure.
2.American Society of Anaesthesiologists (ASA) physical status classification I to III Patients. 3.who provide informed consent to participate in the study. 
 
ExclusionCriteria 
Details  1.Emergency surgeries
2.Patients with previous abdominal wall surgery in the same region
3.Known connective tissue disorders (e.g., Ehlers-Danlos syndrome)
4.Active infection at the surgical site or systemic sepsis
5.Immunocompromised patients (e.g., HIV, on immunosuppressive therapy)
6.Allergy or known hypersensitivity to suture materials used
7.Pregnant women 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess and compare the post-operative parameters following abdominaL sheath
closure using barbed sutures versus delayed absorbable polydioxanone sutures in terms
of
1.Occurance of SSI
2.Occurance of seroma
3.Occurance of wound dehiscence 
4.Post operative 1st day
5.post operative 3rd day
6.post operative 7th day 
 
Secondary Outcome  
Outcome  TimePoints 
1.Post operative pain using VAS scale
2.Total time taken for abdominal sheath closure
3.Incisional hernia development at 3 months post-surgery
4.Suture material cost 
1.Post operative 1st day
2.post operative 3rd day
3.post operative 7th day
4.post operative 3rd month 
 
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   N/A 
Date of First Enrollment (India)   17/03/2026 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Abdominal sheath closure is a critical step in abdominal surgeries to ensure
proper wound healing and prevent complications such as wound dehiscence and incisional
hernia. Traditionally, delayed absorbable sutures like polydioxanone (PDS) have been widely
used for this purpose due to their strength and prolonged absorption time. Recently, barbed
sutures have gained attention for their knotless design, which potentially reduces operative
time and distributes tension evenly along the wound. This study aims to compare the
effectiveness and outcomes of barbed sutures with delayed absorbable polydioxanone sutures
for abdominal sheath closure.
 
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