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CTRI Number  CTRI/2024/07/069878 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 03/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   To see if local application of tranexamic acid reduces seroma formation in patients undergoing ventral hernia surgery 
Scientific Title of Study   To compare the incidence of seroma formation with or without local application of tranexamic acid in ventral herioplasty -a randomized control trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Janani Devi Colon 
Designation  PG Resident 
Affiliation  Sri manakula vinayagar medical college and hospital, puducherry  
Address  Department of general surgery, Sri Manakula Vinayagar medical college and hospital, Pondicherry 605107
Department of general surgery, Sri Manakula Vinayagar medical college and hospital, Pondicherry 605107
Pondicherry
PONDICHERRY
605107
India 
Phone  9894585170  
Fax    
Email  jananicolon@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  G V Manoharsn 
Designation  Professor and head of department  
Affiliation  Sri manakula vinayagar medical college and hospital 
Address  Department of general surgery surgery Sri manakula vinayagar medical college and hospital

Pondicherry
PONDICHERRY
605006
India 
Phone  9894585170  
Fax    
Email  gvmanoharan14@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Janani Devi Colon 
Designation  PG Resident 
Affiliation  Sri manakula vinayagar medical college and hospital, puducherry  
Address  Department of general surgery, Sri manakula vinayagar medical college and hospital, Pondicherry 605107
Department of general surgery, Sri manakula vinayagar medical college and hospital, Pondicherry 605107
Pondicherry
PONDICHERRY
605107
India 
Phone  9894585170  
Fax    
Email  jananicolon@gmail.com  
 
Source of Monetary or Material Support  
Dr. Janani Devi Colon, Department of general surgery, Sri manakula vinayagar medical college and hospital , Puducherry- 605107 India 
 
Primary Sponsor  
Name  Janani Devi Colon 
Address  No 46 SBI colony , mohan nagar extension , puducherry 605006  
Type of Sponsor  Other [Self funding ] 
 
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 
DrJanani Devi Colon  Sri Manakula Vinayagar Medical college and Hospital  Department of general surgery, Sri Manakula Vinayagar Medical college and Hospital,Pondicherry
Pondicherry
PONDICHERRY 
9894585170

jananicolon@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMVMCH Ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K439||Ventral hernia without obstructionor gangrene,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Normal saline  Normal saline is applied under surface of skin flap and skin is closed, daily drain output is measured from postoperative day1 to day 5 
Intervention  To reduce seroma formation in ventral hernioplasty using tranexamic acid   Tranexamic acid is applied under the skin flap and skin is closed, daily drain output is measured from day 1 to day 5 postoperatively 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patient having ventral hernia aged between 18 years to 80 years are included in the study. Both male and female genders are included.
Hernial Defect size more than 2cms.
patient who are able to understand the merits and demerits.

 
 
ExclusionCriteria 
Details  Patient having ventral hernia aged less than 16 years and above 80 years are excluded from the study.
Cirrhosis
Uncontrolled Diabetes Mellitus, chronic kidney disease
not willing to participate in the trial
BMI more than 35
recurrence, Strangulated hernia, pregnancy
patient with severe anaemia 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in Seroma formation is measured in test group (using tranexamic acid) than the control group ( using normal saline)  daily drain output till day 5 of postoperative period is estimated and compared with control group 
 
Secondary Outcome  
Outcome  TimePoints 
reduction of seroma formation using application of tranexamic acid compared with normal saline  first 5 days of post operative period 
 
Target Sample Size   Total Sample Size="98"
Sample Size from India="98" 
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   Phase 2 
Date of First Enrollment (India)   14/07/2024 
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="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   The main objective of this study is to find out reduction in seroma formation with local application of tranexamic acid before skin closure in ventral hernioplasty . Two groups A and B were randomized and one group receives local application of tranexamic acid before skin closure and in other group skin is closed without application of tranexamic acid. the drain output volume ion the following postoperative days were monitored and the output of fifth postoperative day is compared between two groups . The outcome of seroma reduction using tranexamic acid will be evaluated and if there is significant decrease in seroma formation using tranexamic acid it mat be used in large ventral hernia to prevent seroma and further complication such as infection, wound gapping following seroma formation 
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