Laparoscopic repair for perforated peptic ulcers with U-CLIP(R).

Background: The literature established that, in patients without Boey's risk factors, laparoscopic repair of perforated peptic ulcers, compared to open repair, is associated to lower wound infection rate, less analgesic use, reduction in post operative pain, shorter hospital stay. Some of the main drawbacks are length of operative time and laparoscopic surgeon's experience in intracorporeal knotting.We, for first, report our preliminary experience of perforated peptic ulcers' laparoscopic repair using Medtronic U-Clip(R).

Modeling of surface myoelectric signals--Part I: Model implementation.

The relationships between the parameters of active motor units (MU's) and the features of surface electromyography (EMG) signals have been investigated using a mathematical model that represents the surface EMG as a summation of contributions from the single muscle fibers. Each MU has parallel fibers uniformly scattered within a cylindrical volume of specified radius embedded in an anisotropic medium. Two action potentials, each modeled as a current tripole, are generated at the neuromuscular junction, propagate in opposite directions and extinguish at the fiber-tendon endings.

[Diverticular disease and its treatment].

Diverticular disease of the colon is being seen with increasing frequency. Not infrequently, the first attack of diverticulitis may result in serious and potentially fatal complications. A period of observation and conservative management is necessary to determine the outcome of a particular attack.

[Extrahepatic gastrinoma. Report of a clinical case].

Gastrinoma is a rare neoplasia producing gastrina, the hormone responsible of the clinic manifestations related to Zollinger-Ellison syndrome. The localization of gastrinoma is pancreatic or extrapancreatic (usually in Stabile and Passaro triangle). We present a case report concerning an extra-pancreatic gastrinoma not localized in this area and included in a lymph node.