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CTRI Number  CTRI/2022/02/040648 [Registered on: 25/02/2022] Trial Registered Prospectively
Last Modified On: 24/02/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Study of the structure and possible applications of falciform ligament and round ligament of the liver 
Scientific Title of Study   A study of the surgical anatomy and applications of falciform/ hepatic round ligament 
Trial Acronym  HRL Anatomy 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ramanathan Saranga Bharathi 
Designation  Lt Col GI Surgeon 
Affiliation  Armed Forces Medical Services 
Address  Dept of GI Surgery Command Hospital Northern Command Udhampur Jammu and Kashmir

Udhampur
JAMMU & KASHMIR
182101
India 
Phone  8554061554  
Fax    
Email  sarangabharathi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ramanathan Saranga Bharathi 
Designation  Lt Col GI Surgeon 
Affiliation  Armed Forces Medical Services 
Address  Dept of GI Surgery Command Hospital Northern Command Udhampur Jammu and Kashmir


JAMMU & KASHMIR
182101
India 
Phone  8554061554  
Fax    
Email  sarangabharathi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Col AK Dabas 
Designation  Col Senior Advisor and administrative officer 
Affiliation  Armed Forces Medical Services 
Address  Surgical Division Command Hospital Northern Command Udhampur Jammu and Kashmir

Udhampur
JAMMU & KASHMIR
182101
India 
Phone  8130830066  
Fax    
Email  ajay13dabas@gmail.com  
 
Source of Monetary or Material Support  
Using existing resources of Command Hospital Northern Command 
 
Primary Sponsor  
Name  Armed Forces Medical Services 
Address  Command Hospital Northern Command Raghunathpura Udhampur Jammu and Kashmir 182101 
Type of Sponsor  Other [Tertiary care teaching 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 
Col AK Dabas  Command Hospital Northern Command  Dept of GI Surgery Surgical Division Room Number 2 Raghunathpura
Udhampur
JAMMU & KASHMIR 
8130830066

ajay13dabas@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical Committee Command Hospital Northern Command  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K87||Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients under going laparoscopic surgery
Patients undergoing falciform/ round ligament flap procedure
Patients undergoing hepatic-bilio- pancreatic surgeries
Patient needing excision of round ligament/ falciform ligament  
 
ExclusionCriteria 
Details  Peritonitis
Previously excised faliciform/ round ligament previously
Unwilling for the study
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Size
Thickness
Extent
Distensibility
Extent of lumen
Histology
Endothelium 
1 day 
 
Secondary Outcome  
Outcome  TimePoints 
Applications of falciform and round ligament in abdominal surgery  2 weeks
3 months
6 months 
 
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)   15/03/2022 
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)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery—a review of their utility and efficacy. Langenbecks Archives of Surgery 2021; 406: 1249–1281. 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Falciform and hepatic round ligament have numerous applications in abdominal surgery but are used infrequently. They have dual vasculature from systemic and portal systems lending more applications possible. However, their anatomy is controversial such as the exact length, thickness, pattern of vasculature, histology, presence and type of endothelium, distensibility, cannulability etc.
With the advent of laparoscopy such of gross anatomy can e studies without invasion and with IHC techniques the controversy regarding the endothelium can be put to rest.
The extent of luminal distensibility and cannulability can be addressed in specimens that are excised for various reasons.   
 
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