Highlights Among the oesophageal tumour, only less than 10% are benign and leiomyoma is the most common tumour representing approximately two-thirds of the cases. Malignant transformation in leiomyomas are rare and cannot be accurately identified with needle aspiration biopsy making resection followed by histopathological evaluation vital. Malignant transformation in leiomyomas is rare and cannot be accurately identified with needle aspiration biopsy making resection followed by histopathological evaluation vital.

Lumbar sympathectomy is indicated for the treatment of intermittent claudication or rest pain in legs due to ischemia of Buerger's disease, chronic regional pain syndrome (CRPS) type I,II, thromboembolic phenomena, diabetic ulcers, diabetic neuropathic pain, acute herpes pain, Paget's disease of bones, hyperhidrosis, chronic pancreatitis and malignant visceral pain.Buerger's disease is an inflammatory disorder affecting medium sized vessels and adjacent nerves where tobacco plays key role for the disease process. Major presenting symptoms are moderate to severe pain in the limbs, affection of sleep and significant work disability. On Doppler ultrasonography there is reduced/absent flow in peripheral arterial system usually in iliofemoral, popliteal, tibialis posterior and dorsalis pedis artery in patients with ischemic lower limb. Lumbar sympathetic ganglia are present from L2 to L5 paravertebral region where blocking of L2-L3 ganglia blocks the sympathetic fibres of the lower extremities and produces vasodilatation. There are surgical and nonsurgical options available for the treatment of ischemic pain and non-healing ulcers.

Umbolith is a relatively rare entity under normal circumstances, especially in the urban scenario. Usually seen in obese individuals with a deep and retracted umbilicus due to constant accumulation of sebum/keratin leading to stone formation. It’s usually covert until complicated by secondary infection (abscess) or ulceration. Sinus was laid open and healthy granulation was seen within 1st week. Pus culture sensitivity suggestive of heavy staph growth and antibiotics were given accordingly. Appendicitis was treated conservatively.

The existing coronavirus 2019 (COVID-19) pandemic is challenging healthcare systems at global level. We provide a practical strategy to reform pathways of emergency elective onco-surgery and colorectal surgery in the COVID- 19 pandemic. The novelists, from areas affected by the COVID-19, thought to outline the key-points to be conferred. Responsibilities were allotted, concerning specific characteristics of surgical emergencies, onco-surgery and colorectal surgery during the pandemic, including the administrative management of the catastrophe in India. The endorsements were collected and summarized. During the swift spread of COVID-19, it remains thoughtful to halt non-cancer procedures and prioritize surgical emergencies. Endoscopy, proctological procedures have to be completed selectively. With colorectal emergencies, a conservative approach is recommended. Detailed procedures should be followed when operating on COVID-19 patients, using committed personal protective equipment and adhering to specific rules, containing minimally invasive surgery. These guidelines summarize the strict instruction of entry/ exit into theatres and operating block as well as advice on performing procedures carefully to decrease risk of contracting the virus. It is likely that restructuring of health system is required, at central, state, and district levels. A description of the strategy adopted in Dr. D.Y. Patil Medical College Hospital, Kolhapur is provided. Evidence on the management of patients requiring surgery for surgical emergencies, onco-surgery and colorectal conditions during the COVID-19 pandemic is presently deficient. Healthcare professionals have succeeded with high volumes of surgical patients during the pandemic, could be useful to alleviate some risks and decrease exposure to other patients, public and healthcare staff.