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CTRI Number  CTRI/2019/11/022053 [Registered on: 19/11/2019] Trial Registered Prospectively
Last Modified On: 15/02/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Perianal blocks for ambulatory proctologic surgeries 
Scientific Title of Study   A COMAPARATIVE STUDY OF INTRA AND PERISPHINCTERIC PERIANAL BLOCKS FOR AMBULATORY PROCTOLOGIC SURGERIES 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Lt Col R Saranga Bharathi 
Designation  Classified Specialist (Surgery) & GI Surgeon 
Affiliation  Command Hospital Central Command Lucknow 
Address  Department of GI Surgery Command Hospital Central Command Lucknow Cantonment

Lucknow
UTTAR PRADESH
226002
India 
Phone  8554061554  
Fax  05222480354  
Email  sarangabharathi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Lt Col R Saranga Bharathi 
Designation  Classified Specialist (Surgery) & GI Surgeon 
Affiliation  Command Hospital Central Command Lucknow 
Address  Department of GI Surgery Command Hospital Central Command Lucknow Cantonment

Lucknow
UTTAR PRADESH
226002
India 
Phone  8554061554  
Fax  05222480354  
Email  sarangabharathi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anchal Awasthi 
Designation  Resident 
Affiliation  Command Hospital Central Command LucknowCommand Lucknow 
Address  Department of Surgery Command Hospital Central Command Lucknow Cantonment

Lucknow
UTTAR PRADESH
226002
India 
Phone  7991962907  
Fax  05222480354  
Email  anchalawasthi85@gmail.com  
 
Source of Monetary or Material Support  
None 
 
Primary Sponsor  
Name  Armed Forces Medical Services 
Address  Command Hospital Central Command Lucknow Cantonment 
Type of Sponsor  Research institution and hospital 
 
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 
LT COL R SARANGA BHARATHI  Department of Gastrointestinal Surgery  Command Hospital Central Command Lucknow Cantonment
Lucknow
UTTAR PRADESH 
8554061554
05222480354
sarangabharathi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
COMMAND HOSPITAL CENTRAL COMMAND ETHICS COMMITEE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K605||Anorectal fistula,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intrasphicteric block  Cocktail of local anaesthetic agents bupivacaine and lignocaine 20 ml each to be administered into the anal sphincter  
Comparator Agent  Perisphincteric block  Cocktail of local anaesthetic agents Bupivacaine and Lignocaine 20 ml each to be injected around the anal sphincter 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All adult patients with benign anorectal conditions warranting surgery 
 
ExclusionCriteria 
Details  Patients unwilling for the trial
Patients unwilling for local anaesthesia
Patients allergic to local anaesthetic agents
Paediatric patients
Patients with bleeding disorders
Patients in anticoagulants
Patients with acute perianal suppuration

 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Duration of analgesia  Hours and minutes 
 
Secondary Outcome  
Outcome  TimePoints 
Time taken for onset of anaesthesia  Minutes 
Degree of anal gaping  Finger width 
Ease of administration of anaesthesia  Mild moderate or severe 
Pain felt by patient while administering local anaesthesia  Mild moderate or severe 
Ease of performing surgery  Easy, mild difficulty, moderate difficulty or severe difficulty 
Duration of anaesthesia  Hours and minutes 
Complications  As per Clavein Dindo scale 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   09/12/2019 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Ambulatory proctologic surgeries can well be performed under local blocks. Intra sphincteric and perisphincteric blocks are two different types of blocks that are commonly employed to block the nerve supply to ano-rectum to permit surgeries in ano-rectal region. Hitherto, no study has compared the efficacy of these two types of blocks for ambulatory proctologic surgeries. This study aims to do so. 
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