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CTRI Number  CTRI/2023/03/050444 [Registered on: 07/03/2023] Trial Registered Prospectively
Last Modified On: 06/03/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the severity of post operative pain and changes in heart rate, respiratory rate, blood pressure, etc intra-operatively in low pressure and standard pressure pneumoperitoneum (insufflation of CO2 gas in abdominal cavity for better view) in all laparoscopic abdominal surgeries among adults 
Scientific Title of Study   Comparison of effects of low pressure and standard pressure pneumoperitoneum with respect to post operative pain and intra operative hemodynamic changes; A single blinded 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  KABILAN S  
Designation  Post Graduate Resident  
Affiliation  Pondicherry Institute of Medical Sciences 
Address  Room no. 113, PG annexe, Dept of General surgery, Pondicherry Institute of Medical sciences

Pondicherry
PONDICHERRY
605014
India 
Phone  7904160938  
Fax    
Email  kabilan.selvan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Peter Manoharan 
Designation  Professor, General Surgery 
Affiliation  Pondicherry Institute of Medical Sciences 
Address  Medical Superintendent quarters, Dept. Of General surgery, Pondicherry Institute of medical sciences

Pondicherry
PONDICHERRY
605014
India 
Phone  9447591100  
Fax    
Email  peternirmala@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  KABILAN S  
Designation  Post Graduate Resident  
Affiliation  Pondicherry Institute of Medical Sciences 
Address  Room no. 113, PG annexe Dept of General Surgery, Pondicherry Institute of medical sciences

Pondicherry
PONDICHERRY
605014
India 
Phone  7904160938  
Fax    
Email  kabilan.selvan@gmail.com  
 
Source of Monetary or Material Support  
Pondicherry Institute of Medical Sciences 
 
Primary Sponsor  
Name  Kabilan S 
Address  Room no 113, PG annexe, Dept of General surgery, Pondicherry Institute of medical sciences, Puducherry 605014 
Type of Sponsor  Other [Self] 
 
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 Kabilan  Pondicherry Institute of Medical Sciences, Puducherry  Department of General Surgery, Ward No. 8 / SICU / ICU, PIMS hospital Village No. 20, Ganapathichettikulam, Kalapet, Puducherry - 605014
Pondicherry
PONDICHERRY 
7904160938

kabilan.selvan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee, Pondicherry institute of medical sciences   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Low pressure pneumoperitoneum  8 to 10 mmHg 
Comparator Agent  Standard pressure pneumoperitoneum  13 to 15 mmHg 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  All patients undergoing laparoscopic abdominal surgeries 
 
ExclusionCriteria 
Details  1. Conversion of laparoscopic abdominal surgery to open
2. Epidural analgesia
3. Intraoperative cardiac or pulmonary complications
4. Sepsis and septic shock 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
The severity of post operative pain will be significantly lower in low pressure pneumoperitoneum as compared to the standard pressure pneumoperitoneum in laparoscopic abdominal surgeries among adults  2, 8, 24hrs post operatively 
 
Secondary Outcome  
Outcome  TimePoints 
The severity of intraoperative hemodynamic changes will be significantly lower in low pressure pneumoperitoneum as compared to the standard pressure pneumoperitoneum in laparoscopic abdominal surgeries among adults  at start of surgery, at start of pneumoperitoneum creation, at 5, 10, 15, 30, 45, 60, 75, 90 min, 2hrs, 3hrs, 4hrs post pneumoperitoneum creation 
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
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)   10/03/2023 
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)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study is intended to come to a conclusion if low pressure pneumoperitoneum is sufficient enough for all laparoscopic abdominal surgeries, whether it will have lesser post operative pain and lesser intra operative hemodynamic changes 
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