Pilonidal sinus disease  is a chronic inflammatory condition commonly affecting young males, especially those with dense hair in the sacrococcygeal region . Inadequate treatment often leads to high recurrence , prolonged morbidity, and patient dissatisfaction. Flap-based procedures , such as the Rhomboid (Limberg) flap , offer the most reliable long-term results, particularly in complex and multiple sinus disease . Patient Presentation A 28-year-old young male  presented to Geetanjali...

Obstructive jaundice occurs when bile flow is blocked, commonly due to malignancy in the pancreas or bile duct. In non-operable pancreatic cancer, ERCP with metallic CBD stenting is a crucial palliative procedure that relieves jaundice, improves liver function, and enhances quality of life.

Understanding Esophageal Stricture An esophageal stricture is an abnormal narrowing of the food pipe that causes difficulty swallowing (dysphagia). While balloon dilatation helps many patients, some strictures become refractory—meaning symptoms keep returning despite repeated treatment. In such cases, endoscopic stent placement offers long-term relief. Patient Overview A 40-year-old gentleman  presented at Geetanjali Multispeciality Hospital, Wai  with • Difficulty swallowing solid foods •...