Dr Yogita, Dr Rahul Gupta, Dr Jagriti Joshi, Dr R.G. Aiyer (Medical College Baroda & S.S.G. Hospital, Vadodara)

Year: 2025, Volume: 1, Issue: 4, Pages: 271- 303, e-HCSJ 0020, Date of Publication: 28 February 2025

ENDOSCOPIC SINGLE-HANDED TYMPANOPLASTY: HOW EFFECTIVE ARE THE ‘PANETTI’S ENDOSCOPIC EAR SURGERY’ INSTRUMENTS!

Abstract: Endoscopic ear surgeries have always intrigued Otologists. However, the non-availability of the non-dominant hand for a simultaneous suction in the narrow ear canal has sought frequent answers from the established endoscopic ear surgeons. Professor Giuseppe Panetti has designed special endoscopic ear surgery instruments, to provide suction and instrumentation together in one hand. This study has been done to compare technique and results of endoscopic ear surgery done with conventional microscopic ear surgery instruments and Panetti’s set of instruments.

Materials & methods: This prospective comparative study was carried out at Department of E.N.T. & Head-Neck Surgery, Medical College, Baroda in duration of May 2022 to January 2023. 32 patients with ear discharge, decreased hearing and central perforation who have been operated endoscopically via Endo-meatal approach using conventional ear surgery instruments VS Panetti’s instruments, equally divided in two arms. Postoperative follow up was done at 1week, 4 week & 6 weeks.

Results: Separate suction canula was not needed as Panetti’s instruments has suction channel in these instruments. These instruments have 360 degrees rotatable Luer lock connector, which make these instrument’s use comfortable.

Conclusion: In the study comparing Panetti and conventional ear surgery instruments, no significant difference in surgery duration, graft uptake and post-op hearing outcomes was found. Surgical preference, cost, and instrument availability should guide selection.

Key words: Endoscopic ear surgeries, Single handed tympanoplasty, Panetti’s instruments, Prof. Guiseppe Panetti, Conventional ear surgery instruments, cartilage, Endo-meatal tympanoplasty

Navneet Sharma (Assistant Professor, Govt Engineering College)

Year: 2025, Volume: 1, Issue: 4, Pages: 249-270, e-HCSJ 0019, Date of Publication: 28 February 2025

Abstract: Job satisfaction is a critical determinant of employee performance, retention, and organizational success. This study explores the factors influencing job satisfaction among employees in Information and Technology (IT) companies. Study examines the role of workplace environment, compensation, leadership, career development opportunities, and work-life balance by a self-developed Questionnaire. By analysing existing literature and incorporating empirical data, this paper aims to provide a comprehensive understanding of job satisfaction dynamics in the IT sector.

Keywords: Job Satisfaction, Information Technology, Leadership, Career development, Questionnaire

Dr. D R Dhawan (Consultant Urology)

Year: 2025, Volume: 1, Issue: 4, Pages 241-248, e-HCSJ 0018, Date of Publication: 28 February 2025

Abstract- Laparoscopic Dismembered Pyeloplasty is the gold standard for managing Pelvi-ureteric junction (PUJ) obstruction, offering minimal invasiveness and excellent functional outcomes. However, the presence of Aberrant crossing vessels poses technical challenges, requiring meticulous dissection and vascular preservation. This study presents a case of PUJ obstruction with incidentally detected Double crossing arteries managed via laparoscopic Dismembered Pyeloplasty. We provide expanded technical insights, including intraoperative strategies for vascular identification, Ureteral Repositioning, and anastomosis optimization to ensure long-term patency. Additionally, we review the existing literature on anatomical variations and their impact on surgical outcomes. This report aims to enhance the understanding of complex PUJ obstruction cases and refine laparoscopic techniques for improved patient care.

Keywords- Laparoscopy, Dismembered Pyeloplasty, Pelvi-ureteric Junction, Aberrant vessel, Ureteral Repositioning, Double crossing arteries