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CTRI Number  CTRI/2017/10/009976 [Registered on: 03/10/2017] Trial Registered Prospectively
Last Modified On: 29/11/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two sutures in closure of vagina following small incision abdominal hysterectomy (laparoscopic) 
Scientific Title of Study   Comparison of unidirectional and bidirectional barbed suture in vaginal cuff closure during total laparoscopic hysterectomy- A randomized controlled trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Neethu S 
Designation  Junior Resident 
Affiliation  JIPMER, Pondicherry 
Address  Dept of OBG, WCH Block, JIPMER, Dhanvantari Nagar, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9747014824  
Fax    
Email  neethu1091@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Murali 
Designation  Assistant Professor 
Affiliation  JIPMER, Pondicherry 
Address  Dept of OBG, WCH Block, JIPMER, Dhanvantari Nagar, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8940760837  
Fax    
Email  muralidraiims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neethu S 
Designation  Junior Resident 
Affiliation  JIPMER, Pondicherry 
Address  Dept of OBG, JIPMER, Dhanvantari Nagar, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9747014824  
Fax    
Email  neethu1091@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Institute of Postgraduate Medical Education and research (JIPMER), WCH Block, D Nagar, Pondicherry-605006 
 
Primary Sponsor  
Name  Jawaharlal Institute of Postgraduate Medical Education And Research JIPMER 
Address  WCH Block, JIPMER, Dhanvantari Nagar, Pondicherry- 605006 
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 
Dr Neethu S  Jawarharlal Institue of Postgraduate Medical Education And Research (JIPMER)  Dept of OBG, WCH Block, JIPMER, Dhanvantari Nagar , Pondicherry
Pondicherry
PONDICHERRY 
9747014824

neethu1091@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JIPMER INSTITUTE ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients who are scheduled to undergo TLH(total laparoscopic hysterectomy) for benign conditions,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bidirectional barbed suture  Duration of vaginal cuff closure in total laparoscopic hysterectomy using bidirectional barbed suture 
Comparator Agent  Unidirectional barbed suture  Duration of vaginal cuff closure in total laparoscopic hysterectomy using unidirectional barbed suture 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  Patients who are scheduled to undergo total laparoscopic hysterectomy for benign conditions 
 
ExclusionCriteria 
Details  Uterus >20 Weeks
Acute PID 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare vault closure time during total laparoscopic hysterectomy (TLH) using unidirectional barbed suture with bidirectional barbed suture  Duration in minutes 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the post operative vaginal bleeding, infection and cuff dehiscence between the unidirectional and bidirectional barbed suture in total laparoscopic hysterectomy   2 and 4 weeks after the procedure 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
Final Enrollment numbers achieved (Total)= "46"
Final Enrollment numbers achieved (India)="46" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/11/2017 
Date of Study Completion (India) 16/06/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Total laparoscopic hysterectomy (TLH) is a well established alternative to transabdominal hysterectomy for treatment of benign uterine disease with special advantage of less pain, shorter hospitalisation, earlier return to normal activities and better cosmetic outcome. In TLH when vaginal vault is closed laparoscopically intra corporeal knot tying is done which requires experience. With development in technology , several solutions have been proposed to reduce stress on surgeons. One of these is Barb technology, which has microscopic etching which allows self anchoring without the need of knots

In this study the time taken for closure of vaginal cuff in TLH using unidirectional and bidirectional barbed suture will be compared. 
Hypothesis: Unidirectional barbed suture have to be locked by a loop at one end , this step is not needed for bidirectional barbed suture. Hence time taken for bidirectional barbed suture closure of vaginal cuff may be shorter
 
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