BACKGROUNDHand injuries are common accounting for nearly 10% of hospital emergency department visits. Aim of this study is to evaluate the peculiarities of the epidemiology of the various causes of hand injury in our locality, various pattern of presentation, various treatment modalities adopted in our institution.

BACKGROUNDPerforation peritonitis is one of the commonest surgical emergency encountered by surgeons. The aim of the study is to provide an overview of aetiological factors causing peptic ulcer perforation and the factors affecting the outcome of management.

BACKGROUND Soft tissue sarcomas are a heterogeneous group of tumours arising from primitive multipotent mesenchymal cells undergoing differentiation into one or more cell lines. They constitute 1% of human cancers. [1] Most cases of soft tissue sarcoma are sporadic and the cause is unknown. Soft tissue sarcomas are one of the most common radiation associated tumours [2] and they develop from any site and have more than 50 histological types and subtypes. The aim of this study is to provide an overview of its distribution and to emphasise the recent trends in the management of soft tissue sarcoma with considerable change towards limb and organ saving attitude. [3]

Background: The aim of this study was to determine and compare the therapeutic effectiveness and safety of USG guided percutaneous continuous catheter drainage and USG guided percutaneous needle aspiration in the treatment of liver abscess in Trichy. Methods: This is a prospective randomised comparative study of 50 patients, presented in outpatient and emergency department at the hospital, randomised equally into two groups, percutaneous needle aspiration and pigtail catheter drainage. The effectiveness of their treatment was measured in terms of duration of hospital stay, time taken for improvement of clinical symptoms, time taken for 50% reduction in cavity size and total or near total reduction of abscess cavity. Independent t-test was used to analyse these parameters. Results: The success rate was significantly better in catheter drainage group. Patients in pigtail catheter drainage group showed earlier clinical improvement (p 0.000) and 50% reduction in abscess cavity volume (p 0.000) and near total reduction of abscess cavity was earlier (p 0.019) as compared to those who underwent percutaneous needle aspiration. Conclusion: Our study concludes that percutaneous catheter drainage is a better modality as compared to percutaneous needle aspiration in respect to clinical improvement, reduction of cavity and success rate.

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