Background: Perforation peritonitis is one of the commonest emergencies encountered in surgical patients in India. The etiology of this condition in tropical countries is different than those from the western countries. Presents study highlights the spectrum of perforation peritonitis seen in the department of general surgery in Index medical college, Indore (M.P.). Methods: A prospective cum retrospective study was performed on 227 patients of perforation peritonitis over a period of 3 years in the department of general surgery in Index medical college, Indore (M.P.). Cases were reviewed in terms of clinical presentation, operative findings and post-operative course. Results: The commonest cause of perforation peritonitis in our series was acid peptic disease, followed by appendicular, enteric, traumatic and tubercular perforations. The overall mortality rate 8% was comparable to the mortality rates of other published series. Conclusion: Upper gastrointestinal perforation continues to be the commonest cause of perforation peritonitis, which is in contrast to the western world where lower gastrointestinal perforations are more common. Besides, a significant number of traumatic perforations are due to increase in the number of high speed motor vehicle accident cases in last few decades.

Introduction: The knowledge of proper communication skills with the patients plays a pivotal role in success of medical professionals. A practical approach would be to initiate its training at an early stage of education period of undergraduate medical students. Aim:To assess perception and attitude of medical students towards Communication Skills Lab (CSL) and teaching module in Central India.

Background: Intestinal obstruction is one of the commonest surgical emergencies seen in pediatric patients. In last few decades, the scenario of diagnosis and management of pediatric intestinal obstruction has been changed due to better understanding of pathophysiology, improvement in diagnostic methods, availability of better antibiotics, safer pediatric anesthesia and advanced pre and post operative intensive care. Objectives: To study the epidemiology, clinical features and outcome of intestinal obstruction in paediatric patients. Methods: The present prospective study was conducted in department of General Surgery, Index Medical College, Indore in paediatric patients admitted with clinical features and diagnosis of intestinal obstruction between July 2014 to June 2016 (2 years). Results: Majority of cases of intestinal obstruction in our study were in age group of 0-1 years (70.2%), followed by the age group of 1-5 years (20.2%) and more than 5 years (9.6%). Conclusion: Majority of patients (70.2%) were of less than one year age, and male to female ratio was found to be 3.5:1. Congenial causes of intestinal obstruction were more common (61.7%) than the acquired causes. Intussusception (18.1%) was the commonest cause of intestinal obstruction in this series.

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