| Changes to trial information | 
    
    
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      | Trial Information | 
      Actual trial start date | 
      04/08/2025 | 
      PACTR Admin | 
       | 
      30 Apr 2023 | 
    
    
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      | Eligibility | 
      Age group | 
      01/08/2025 | 
      we thicked 65 case | 
      Adult: 19 Year-44 Year, Middle Aged: 45 Year(s)-64 Year(s) | 
      Adult: 19 Year-44 Year, Middle Aged: 45 Year(s)-64 Year(s), Aged: 65+ Year(s) | 
    
    
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      | Outcome | 
      OutCome List | 
      01/08/2025 | 
      sorry for the mistake | 
      Primary Outcome, postoperative complications were classified according to the Clavien-Dindo grading system immediatly after surgery and at 30 days after surgery , 1 month | 
      Primary Outcome, postoperative complications were classified according to the Clavien-Dindo grading system immediatly after surgery and at 30 days after surgery , post intervention | 
    
    
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      | Outcome | 
      OutCome List | 
      01/08/2025 | 
      outcomes will be seen after the intervention | 
      Secondary Outcome, body weight measurements, 1 month | 
      Secondary Outcome, body weight measurements, post intervention | 
    
    
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      | Funding Source | 
      FundingSources List | 
      01/08/2025 | 
      the study is self funded | 
      none, none, none, , Tunisia, ,  | 
      principal investigator rym ben othman, 11 rue jbal lakhdhar, tunis, , Tunisia, Self Funded,  | 
    
    
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      | Funding Source | 
      FundingSources List | 
      04/08/2025 | 
      PACTR Admin | 
      principal investigator rym ben othman, 11 rue jbal lakhdhar, tunis, , Tunisia, Self Funded,  | 
      rym ben othman, 11 rue jbal lakhdhar, tunis, , Tunisia, Self Funded,  |