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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04653402
Other study ID # T/IM-NF/Gen.Surg/20/45
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 1, 2021
Est. completion date July 15, 2023

Study information

Verified date July 2023
Source All India Institute of Medical Sciences, Bhubaneswar
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

There is no clear consensus regarding the benefits of putting a closed suction drain after eversion of the sac in a hydrocele of the tunica vaginalis testis. Our study will find out the benefits if at all of a closed suction drain in hydrocele surgery. The potential complications expected after hydrocelectomy surgery are bleeding, infection, redness, and pain. There is no such trial to date to determine the benefits of putting a closed suction drain after hydrocelectomy surgery.


Description:

Study objectives: 1. Primary: To compare the postoperative complication rates of hematoma, skin edema and surgical site infection after hydrocelectomy, between patients with or without a closed suction drain (CSD). 2. Secondary: To compare postoperative pain (testalgia) between the two groups of patients. Study setting: All patients over 18 years of age attending the outpatient department of General Surgery at AIIMS, Bhubaneswar with the diagnosis of idiopathic hydrocele and planned for elective surgery. Total Sample Size = 60 (30 in each arm)


Recruitment information / eligibility

Status Completed
Enrollment 100
Est. completion date July 15, 2023
Est. primary completion date June 30, 2023
Accepts healthy volunteers No
Gender Male
Age group 18 Years and older
Eligibility Inclusion Criteria: - All patients over 18 years of age diagnosed with primary hydrocele by clinical and ultrasonographic confirmation, undergoing hydrocelectomy surgery. Exclusion Criteria: - Patient not giving consent to participate - Patients with ASA (American Society of Anaesthesiology) grade 3 & 4 - Patients with congenital or secondary hydrocele - Patients with recurrent disease, pyocele or filarial scrotum

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Hydrocelectomy surgery
The standardized hydrocelectomy operation i.e. Eversion of the TVT sac

Locations

Country Name City State
India All India institute of medical sciences Bhubaneswar Odisha

Sponsors (1)

Lead Sponsor Collaborator
All India Institute of Medical Sciences, Bhubaneswar

Country where clinical trial is conducted

India, 

References & Publications (5)

Agbakwuru EA, Salako AA, Olajide AO, Takure AO, Eziyi AK. Hydrocelectomy under local anaesthesia in a Nigerian adult population. Afr Health Sci. 2008 Sep;8(3):160-2. — View Citation

Dagur G, Gandhi J, Suh Y, Weissbart S, Sheynkin YR, Smith NL, Joshi G, Khan SA. Classifying Hydroceles of the Pelvis and Groin: An Overview of Etiology, Secondary Complications, Evaluation, and Management. Curr Urol. 2017 Apr;10(1):1-14. doi: 10.1159/000447145. Epub 2017 Mar 30. — View Citation

Patil V, Shetty SM, Das S. Common and Uncommon Presentation of Fluid within the Scrotal Spaces. Ultrasound Int Open. 2015 Nov;1(2):E34-40. doi: 10.1055/s-0035-1555919. Epub 2015 Nov 6. — View Citation

Tsai L, Milburn PA, Cecil CL 4th, Lowry PS, Hermans MR. Comparison of Recurrence and Postoperative Complications Between 3 Different Techniques for Surgical Repair of Idiopathic Hydrocele. Urology. 2019 Mar;125:239-242. doi: 10.1016/j.urology.2018.12.004. Epub 2018 Dec 12. — View Citation

Whitehead AL, Julious SA, Cooper CL, Campbell MJ. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Stat Methods Med Res. 2016 Jun;25(3):1057-73. doi: 10.1177/0962280215588241. Epub 2015 Jun 19. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Skin edema Boggy swelling of scrotal wall Post operative period of 1 month
Primary Hematoma Post-operative swelling of scrotum with skin discolouration and oozing of blood through the incision site Post operative period of 1 month
Primary Surgical site infection Seropurulent discharge from the incision site with systemic signs of infection like fever, tachycardia and local signs like edema, redness and tenderness Post operative period of 1 month
Secondary Testalgia Visual Analog Scale scoring on a 100 mm length scale ( low score with no pain to higher scores with worst imaginable pain) for acute and sub acute testalgia post operative period of 1 month