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Pilonidal sinus over sacrococcygeal area is an acquired condition which affects young male adults usually. We did a retrospective chart review in the department of general surgery,Kalinga Institute of Medical Sciences,Bhubaneswar, for patients who underwent limberg flap repair for pilonidal sinus from sept 2015 to sept 2021 (6 years and 8 months) .A total of 49 patients with 40 males and 9 females respectively, were operated and they had a minimal post operative pain,average post operative hospital stay of 6 days and early return to work in 3 weeks. Four out of 49 patients developed seroma,out of which 1 was lost to follow up .Remaining 3 took two weeks to heal with regular dressings and no recurrence so far .One patient developed stitch granuloma and was treated conservatively. Hence Limberg flap for sacrococcygeal pilonidal sinus was found to be very useful in terms of post operative pain,infection rate,patient compliance,early return to work and almost nil recurrence rates. [ABSTRACT FROM AUTHOR]

Despite being a rare condition, Dieulafoy's lesion, also known as the persistent artery, is a serious cause of gastrointestinal bleeding. Only 1-2% of acute gastrointestinal bleeding is caused by it. Most commonly affects the stomach and duodenum, rarely affecting jejunum, ileum, caecum, etc. Our case presents a 21-year-old male who presented with lower gastrointestinal bleeding secondary to jejunal dieulafoy's lesion. [ABSTRACT FROM AUTHOR]

Anal stenosis is a fibrous narrowing of the anal channel. It develops, in most cases, in the aftermath of proctologic surgical procedures with extensive anoderm excision or in the presence of chronic anal inflammation in patients with Crohn Disease. Diagnosis is essentially clinical. The most severe cases require anoplasty procedures with mucosal or anal flaps. [ABSTRACT FROM AUTHOR]

Kaposi sarcoma is angioproliferative malignancy affecting skin and internal organs. This is common in advanced stages of HIV infection. Incidence of Kaposi Sarcoma in HIV negative patients is rare with indolent course, varying from small cutaneous lesion to wide spread lesion involving internal organs. The current article is a case report and review literature of Kaposi sarcoma. A 21 year old male presented to OPD with a 5 month old chronic wound involving left foot and ankle with a tendency to bleed. Biopsy revealed Kaposi sarcoma and serology negative for HIV. Patient was treated with below knee amputation and one and half year followup showed no recurrence. [ABSTRACT FROM AUTHOR]

Carotid Artery Injury is a life-threatening emergency. Injuries to the Carotid Artery constitute a particularly challenging subset of arterial trauma because they have the potential to produce exsanguinating hemorrhage, suffocating airway compromise and debilitating cerebral damage. The majority of patients with vascular neck injuries died at the site where the injury occurred or during transport to medical facilities. Transection of the Common Carotid Artery is very rarely encountered and most surgeons lack experience for intervention of the same. We reported a case of carotid artery injury, who presented to us in shock. Aggressive resuscitation and timely surgical intervention saved the life. [ABSTRACT FROM AUTHOR]