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]

BACKGROUNDCarcinoma oesophagus is the 6 th most common cancer in the world. Overall, a 5-year survival rate with treated tumour is 5 to 20% only. But still most patients with carcinoma oesophagus could not be diagnosed earlier because of late presentation. The aim of this study is to know the regional incidence, common histological types, clinical features and investigations to aid diagnosis, to know the common site and to know operability of carcinoma oesophagus.

COVID 19 pandemic was declared by WHO as public health emergency on January 30,2020. Health system was reorganised with the aim to cope with the new disease and maintain essential health service. Many patients suffered from ARDS which lead to the modication of clinical and surgical activity. Current impact of COVID 19 outbreak on emergency surgical practice is still not developed. Varied presentation, diagnostic uncertainity, lack of guidelines present challenges to surgeons. AIM: The aim of our study was to evaluate the impact of the COVID-19 pandemic on emergency general surgery admissions and operations in our institution METHODS: We conducted a retrospective study in K.A.P.V.G.M.C. and M.G.M.G.H., Trichy from march 2020 to December 2020. All general surgical emergency admissions to KAPVGMC and MGMGH, district general hospital were included from march to December 2020.The details of diagnosis and subsequent management were retrieved from records. CONCLUSION: It was observed thatclinical decisions were made based on urgency of each case while simultaneously evaluating their COVID 19 status. The number of surgicalcases during COVID 19 period were signicantly reduced. Recognising asymptomatic carriers and need of emergency surgical intervention were the challenges faced by the surgeons. Effective communication between microbiologist, radiologist, anaesthetist and surgeon was necessary to attain a favourable outcome. .Inspite of challenges faced 80% had postoperative uneventful period other than prolonged duration of stay and were discharged and followed up. Covid 19 pneumonia and ARDS attributed to majority of death among the 20 % of deceased , other than septicemia