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CTRI Number  CTRI/2025/11/096958 [Registered on: 06/11/2025] Trial Registered Prospectively
Last Modified On: 04/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of morphine given during spinal anesthesia in participants undergoing laproscopic hyserectomy to see quality of recovery as the main outcome 
Scientific Title of Study   Effect of Intrathecal Morphine on Quality of Recovery of Patients Undergoing Laparoscopic Assisted Hysterectomy: A Randomized Controlled 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  BHAVYA PURI 
Designation  MD RESIDENT ANESTHESIA 
Affiliation  PGIMER CHANDIGARH 
Address  Junior Resident Department Of Anesthesia And Intensive Care 4th Floor Nehru Complex PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  07807304483  
Fax    
Email  drbhavyapuri@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR RASHI SARNA 
Designation  ASSOCIATE PROFESSOR ANESTHSIA AND INTENSIVE CARE 
Affiliation  PGIMER CHANDIGARH 
Address  Department Of Anesthsia And Intenisive Care 4th Floor A Block Nehru Building PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9646002284  
Fax    
Email  sarnarashi@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  DR RASHI SARNA 
Designation  ASSOCIATE PROFESSOR ANESTHSIA AND INTENSIVE CARE 
Affiliation  PGIMER CHANDIGARH 
Address  Department Of Anesthsia And Intenisive Care 4th Floor A Block Nehru Building PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9646002284  
Fax    
Email  sarnarashi@yahoo.in  
 
Source of Monetary or Material Support  
Department Of Anesthsia And Intenisive Care 4th Floor A Block Nehru Building PGIMER Chandigarh INDIA PIN 160012 
 
Primary Sponsor  
Name  BHAVYA PURI 
Address  Junior Resident Department Of Anesthesia And Intensive Care 4th Floor Nehru Complex PGIMER Chandigarh 
Type of Sponsor  Other [SELF] 
 
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 BHAVYA PURI  PGIMER CHANDIGARH  GYANECOLOGY OPERATION THEATER MAIN OT COMPLEX 4 FLOOR A BLOCK PGIMER CHANDIGARH
Chandigarh
CHANDIGARH 
07807304483

drbhavyapuri@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PGIMER INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N00-N99||Diseases of the genitourinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intrathecal morphine  Intrathecal morphine injection will be given to the case groups at 200micrograms or 0.3 micrograms per KG whichever is lower and compared with the control group 
Comparator Agent  SHAMS procedure  In the control group only local infiltration with local anesthic will be done after part preparation with chlorhexidine solution and using a capped syringe pressure will be applied for two minutes without puncturing the dura and no intrathecal drug will be given 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  Female patients aged more than18 years up to 70 years
ASA physical status I to ASAIII
Patient scheduled for elective laparoscopic hysterectomy
Ability to understand and complete the QoR-15 questionnaire
 
 
ExclusionCriteria 
Details  Declined consent to participate
Contraindication to intrathecal morphine
Morbid obesity BMI more than 35 kg per m2
History of chronic opioid use or opioid dependence
Severe hepatic, renal, or respiratory disease
Contraindications to neuraxial anesthesia
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the impact of implementing ITM on QOR of patients undergoing laparoscopic-assisted hysterectomy between 18 to 70 years of age.  pod 1 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of recovery score on POD 2 and 3
 
pod 2 pod 3 
To compare post-operative pain scores between both groups.


 
 
To compare post-operative analgesia/ IV-opioid requirement in both groups.   
To assess adverse effects related to the administration of intrathecal morphine   
To assess the difference in length of hospital stay and overall patient satisfaction   
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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)   16/11/2025 
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 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   We hypothesize that patients receiving intrathecal morphine will have significantly improved quality of recovery, compared to those receiving standard analgesia following laparoscopic-assisted hysterectomy.

Aim of study To assess the impact of implementing ITM on QOR of patients undergoing laparoscopic-assisted hysterectomy between 18 to 70 years of age.

Primary objective Quality of recovery score on Postoperative Day 1.

Secondary objectives

Quality of recovery score on POD 2 and   To compare post-operative pain scores between both groups.

To compare post-operative analgesiaand IVopioid requirement in both groups.

To assess adverse effects related to the administration of intrathecal morphine

To assess the difference in length of hospital stay and overall patient satisfaction

 

 
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