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CTRI Number  CTRI/2026/01/102418 [Registered on: 29/01/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Comparison of skin graft healing after harvesting with and without tumescent techniques. 
Scientific Title of Study   A Comparitive Study of Split Thickness Skin Graft Take Following Harvesting With Tumescent Technique versus Non-Tumescent Technique. 
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 ARUL D C 
Designation  Post Graduate 
Affiliation  Vinayaka Mission’s Kirupananda Variyar Medical College, Salem  
Address  Department of General Surgery Vinayaka Mission’s Kirupananda Variyar Medical College, Salem

Salem
TAMIL NADU
636308
India 
Phone  9787112345  
Fax    
Email  draruldc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr EMJ KARTHIKEYAN 
Designation  Professor 
Affiliation  Vinayaka Mission’s Kirupananda Variyar Medical College, Salem  
Address  Department of General Surgery Vinayaka Mission’s Kirupananda Variyar Medical College, Salem

Salem
TAMIL NADU
636308
India 
Phone  9842256564  
Fax    
Email  emjkarthik@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR ARUL D C 
Designation  Post Graduate 
Affiliation  Vinayaka Mission’s Kirupananda Variyar Medical College, Salem  
Address  Department of General Surgery Vinayaka Mission’s Kirupananda Variyar Medical College, Salem

Salem
TAMIL NADU
636308
India 
Phone  9787112345  
Fax    
Email  draruldc@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  DR ARUL D C 
Address  Department of General Surgery Vinayaka Mission’s Kirupananda Variyar Medical College, Salem  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
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 ARUL D C  Vinayaka Mission’s Kirupananda Variyar Medical College, Salem   Department of General Surgery Vinayaka Mission’s Kirupananda Variyar Medical College, Salem
Salem
TAMIL NADU 
9787112345

draruldc@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: V239||Unspecified motorcycle rider injured in collision with car, pick-up truck or van in traffic accident,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Inclusion Criteria

Patients aged 18–65 years.
Indicated for split-thickness skin grafting due to trauma, burns, or post- excisional defects.
Hemodynamically stable.
Willing to provide informed consent.  
 
ExclusionCriteria 
Details  Exclusion Criteria

Known allergy to lignocaine or epinephrine.
Coagulopathies or on anticoagulation therapy.
Active infection at the donor or recipient site.
Uncontrolled diabetes or peripheral vascular disease.


 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Percentage of graft take assessed clinically on postoperative day 5 in patients undergoing split-thickness skin graft harvesting using tumescent versus non-tumescent technique.  Percentage of graft take assessed clinically on postoperative day 5 in patients undergoing split-thickness skin graft harvesting using tumescent versus non-tumescent technique. 
 
Secondary Outcome  
Outcome  TimePoints 
Intraoperative blood loss measured during split-thickness skin graft harvesting in both groups.

• Postoperative pain at the donor site assessed using Visual Analog Scale (VAS) on postoperative days 1, 2, and 3

• Percentage of donor site epithelialization assessed on postoperative day 10.

• Incidence of postoperative complications including hematoma, seroma, and infection at donor and recipient sites during the postoperative follow-up period of 3 week

• Final clinical outcome of graft and donor sites assessed at 3 weeks postoperatively.
 
18 weeks 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   14/07/2027 
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)  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 aims to compare the outcomes of split-thickness skin grafts (SSG) harvested using the tumescent technique versus the conventional non-tumescent method. The objective is to evaluate differences in graft take, donor site healing, intraoperative blood loss, postoperative pain, and overall patient satisfaction.

In the tumescent technique, a diluted local anesthetic with adrenaline is infiltrated into the donor site, providing hydrodissection, hemostasis, and analgesia. In contrast, the non-tumescent method involves direct graft harvesting without prior infiltration. The study includes patients undergoing skin grafting for various wounds, divided into two groups based on the technique used.

Parameters such as graft survival rate, incidence of hematoma or infection, donor site complications, and ease of graft harvest are analyzed and compared. Preliminary results suggest that the tumescent technique offers advantages, including reduced intraoperative bleeding, easier harvesting, and improved graft take, while ensuring better postoperative comfort.

 
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