In this work we analyzed 19 cases of peri-implant fractures. Out of 19 cases 18 were female. Age ranging from 47-90 years and average age being 76,5 years. The study was conducted from July 2014 to December 2016. All the patients earlier had intertrochanteric or subtrochanteris fractures and were treated using different nails or DHS. During surgery the implant was removed in 6 patients, partly removed in 10 cases, while in 3 patients the implant remained in situ. In 11 cases we used intramedullary nails, and 7 patients were treated using LCP plates, one patient passed total hip arthroplasty using revision system.

The work is dedicated to the treatment of median postoperative and recurrent hernias. Treatment of large and giant hernia of anterior abdominal wall characterized by gross violations of anatomical structures with the loss of physiological functions of the muscles of the abdominal wall is particularly difficult. There was conducted an analytical review of the known methods of modern combined hernia repair of large and giant ventral hernias. The results of treatment are unacceptable. So recurrences after autodermoplasty according to the methods of V. N. Janov reach 53,5 %, and after alloplasty - from 16,2 % to 32 %. There were proposed new methods for combined plasty combining operation of O. Ramirez, H. Welty with autodermoplasty. Retrospective analysis of case histories of treated 175 patients with a median large and giant postoperative and recurrent hernias showed that the results of treatment have improved. So the number of recurrences in long-term period decreased to 5 (of 2,9 %). It was concluded that the operation directed at increasing of the volume of the abdomen, help to improve the results of treatment of patients with extensive medial hernias.

Studied long-term results of surgical treatment of 241 patients with varicose disease of the lower extremities by endovenous laser coagulation. The technical success of the operation was achieved in all cases, which was confirmed by color duplex scanning. Intraoperative complications. Long-term outcome was studied in 174(72.2%) patients in the period up to 5 years. GSV occlusion signs throughout detected in 168(96.4%) patients, partial recanalization of the GSV signs were detected in 6(3.5%) patients.

Published studies showed, that functional results of surgery for failed antireflux procedures is worse than primary fundoplication. The main reason for this are: Impaired anatomy of the esophagogastric junction, food physiological passage violation; and both these reason create additional difficulties for the surgeon.From 1995 to January 2016, laparoscopic antireflux surgery was performed in 1830 cases, and 1.97% (n-36 patients) of them, were subsequently laparoscopically refunded; In addition, 45 patients with initial operation in other hospitals, were also included in the study. In most cases, n = 37, reason for repeat antireflux surgery was a recurrence of hiatal hernia; «Slippage» syndrome n = 19; Insufficiency of the cuff n = 14; Stenosis in the gastroesophageal transition n = 4, clinical relapse without established anatomical cause n = 7.Disease free for 5 years after previous fundoplication was in 98.8% cases. There was no statistically significant association between the initial modification of the antireflux procedure and the likelihood of relapse. The average follow up time for reoperated patients was 63 months; 76.5% of the reoperated patients are fully satisfied with the functional results.

The article presents a model for the preparation of trophic ulcers of venous etiology, as well as morphological changes in trophic ulcers of this etiology during autotransplantation of adipose tissue into the zone of the pathological focus. Due to the author’s addition to the Russian Federation patent No. 2510083 from 2014, trophic ulcers of venous etiology were modeled. In the course of the morphological study it was revealed that in the group of rabbits where the autotransplantation of adipose tissue was performed into the area of the trophic ulcer, the strengthening and acceleration of the repair processes was noted. The results of the experimental study allow to judge the effectiveness of the proposed method of treatment at the morphological level.

Hiatal hernias are an extremely common gastroenterological disease. Now occupy the third place after cholelithiasis and peptic ulcer of the stomach and duodenum. The frequency of recording hiatal hernias reaches values of 26-50% in the general population. Despite the high frequency of occurrence, patients do not receive adequate therapy for a long time, and they are not informed about the need for performing an operative intervention. The article analyzes the literature devoted to the problem of clinical and instrumental diagnosis of hiatal hernia. The possibilities of diagnostic approaches are being studied. The article states the validity of a comprehensive assessment and the elimination of the monomethodic approach, which allows not only to determine the diagnosis, but also to determine the route of the patient to ensure the most complete and timely treatment.

Attention to health care structure, especially to the staff, are particularly close, because their professionalism -is unopposed basis to improve processes and results. In this context, professional standards are an essential element to ensure the professionalism of health care worker. The article describes the methodology of professional standard substantiation of the specialist in plastic surgery: the name of the type of professional activity, the main goal of the type of professional activity, the composite labor function description and a list of labor functions, that compose them. The results of this study are used when working on a project of professional standard of specialist in plastic surgery. The article describes in detail all kinds, types and stages of expert evaluation, used for determination of titles and substantiation the choice of alternatives, as well as forming a list of labor functions. The study confirmed that only a combination of different methods of expert estimation ensures its accuracy.