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CTRI Number  CTRI/2026/04/108275 [Registered on: 13/04/2026] Trial Registered Prospectively
Last Modified On: 18/08/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A randomized controlled trial comparing suture ligation versus herniotomy sans ligation in pediatric hydrocele repair. 
Scientific Title of Study   Comparative Evaluation of Suture Ligation of the Processus Vaginalis versus Herniotomy sans ligation in Pediatric Hydrocele Repair: 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  Dr Rajpal Singh Sisodiya 
Designation  Consultant Pediatric Surgeon 
Affiliation  Netaji Subhas Chandra Bose,Medical college,Jabalpur MP 
Address  Department Of Pediatric Surgery
Netaji Subhas Chandra Bose, Medical College, Nagpur road, JABALPUR,
Jabalpur
MADHYA PRADESH
482003
India 
Phone  09654811772  
Fax    
Email  rssisodiyanscbpediasurgery@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajpal Singh Sisodiya 
Designation  Consultant Pediatric Surgeon 
Affiliation  Netaji Subhas Chandra Bose Medical college, Jabalpur, MP 
Address  Department Of Pediatric Surgery WARD NO 21 ,
Netaji Subhas Chandra Bose Medical College, JABALPUR, NAGPUR ROAD, MP, INDIA 482003
Jabalpur
MADHYA PRADESH
482003
India 
Phone  09654811772  
Fax    
Email  rssisodiyanscbpediasurgery@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajpal Singh Sisodiya 
Designation  Consultant Pediatric Surgeon 
Affiliation  Netaji Subhas Chandra Bose,Medical college ,Jabalpur MP 
Address  Department Of Pediatric Surgery
Netaji Subhas Chandra Bose,Medical College, NAGPUR ROAD JABALPUR MP INDIA
Jabalpur
MADHYA PRADESH
482003
India 
Phone  09654811772  
Fax    
Email  rssisodiyanscbpediasurgery@gmail.com  
 
Source of Monetary or Material Support  
Multi disciplinary reaserch unit, Netaji Subhas Chandra Bose Medical college ,NAGPUR ROAD , 482003 ,JABALPUR MP INDIA  
 
Primary Sponsor  
Name  Multi disciplinary research unit Netaji Subhas Chandra Bose Medical College Jabalpur MP INDIA  
Address  MDRU , NSCB Medical College, Nagpur road 482003, Jabalpur MP INDIA 
Type of Sponsor  Government medical college 
 
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 
Rajpal Singh Sisodiya  Netaji Subhas Chandra Bose, Medical college and hospital , Jabalpur 482003 MP INDIA  Department Of Pediatric Surgery, WARD NO-21, Main hospital building NSCB Medical College and associated hospital , JABALPUR
Jabalpur
MADHYA PRADESH 
09654811772

rssisodiyanscbpediasurgery@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, NSCB Medical College,Jabalpur (MP)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N433||Hydrocele, unspecified, (2) ICD-10 Condition: N433||Hydrocele, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Herniotomy sans ligation  Hernitomy sans ligation means ligation sac with bipolar cuatery without suture matareial 
Comparator Agent  Herniotomy with suture ligation  Herniotomy with ligation of the suture is the conventional way  
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  12.00 Year(s)
Gender  Male 
Details  Age 1 to 12 years
Unilateral or bilateral congenital hydrocele that requires surgical intervention. 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.To compare operative time between conventional suture ligation versus herniotomy sans ligation during open herniotomy for pediatric hydrocele.


2. To compare recurrence of hydrocele or development of inguinal hernia at 12 months.
 
1.Operative time from skin incision to sac ligation and skin-to-skin (intraoperative)

2. Recurrence of hydrocele or development of inguinal hernia at 12 months postoperatively. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess early postoperative complications (edema, hematoma, wound infection).  WITHIN 6 WEEKS FROM DATE OF SURGERY  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   24/04/2026 
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)
Modification(s)  
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  

This randomized controlled trial aims to compare suture ligation of the processus vaginalis with herniotomy without ligation in children undergoing surgery for hydrocele. Pediatric hydrocele repair is commonly performed using traditional high ligation, although newer sutureless techniques may reduce operative time and avoid suture-related complications. However, high-quality comparative evidence is lacking.

A total of 100 children aged 1 to 12 years with congenital hydrocele will be randomly assigned to two groups. One group will undergo conventional herniotomy with suture ligation, while the other will undergo herniotomy without ligation. The primary outcome is operative time, recurrence. Secondary outcomes include postoperative complications such as edema, hematoma, and infection, need for reoperation, and recovery parameters.

The study is a parallel-group, assessor-blinded, randomized trial conducted at a tertiary care center. Follow-up will last up to 12 months to assess recurrence and complications.

This study aims to provide evidence on the safety and effectiveness of sutureless herniotomy and may help improve surgical practice in pediatric hydrocele repair by reducing operative time without increasing recurrence or complications.


 
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