In the experiment on 36 dogs and in the clinic, 56 patients with gastric ulcer and duodenal ulcer stomach resection hypotrachyna applied technology (patent pending), consisting in the imposition of additional muco-submucosal or serous-muscular sutures 1-2 cm from the anastomosis, which occurs due to the convergence anastomosing departments, which reduces the load on the main seams of the anastomosis. In the experiment the efficacy of the developed technologies under conditions of significant tension (2,5-3,6 N - 245-350 g) of the stump of the stomach and duodenal stump. It is proved that the reduction of tension in the major joints along the line of the anastomosis contributes to a smaller disorders of the trophic tissue regenerating structures that are installed for increasing the redox potential, reduction in the intensity of lipid peroxidation and leading to phospholipase activity. In the clinic application hypotensive and overthrowing sutures in resection of the stomach allowed us to minimize postoperative complications. Failure of sutures gastroduodenal anastomosis was not. A marked decrease in the maintenance of anastomositis to 1.8%, postoperative pancreatitis to 3.6%.

Despite the availability of modern high-tech methods of examination, diagnosis of perforation of the descending part of the colon is difficult. Every year, the share of incoming patients with spilled peritonitis, 30 to 40% occur in perforation of the colon. Timely diagnosis and reasonable volume of surgical intervention ensure a favorable outcome. The article provides an analysis of the clinical case devoted to this problem.

In the experiment, 44 adult dogs evaluated the healing process of tissues on the line of anastomosis, formed by different seams: double row of inverted Lambert- AB (n=12), single inverted seam Pirogov-Matsuka (n=12), single-row original martirani seam (n=20). In the clinic martirosyany seam applied when gastric resection (n=35) and small intestine (n=24). It is established that martinovanje anastomosis has sufficient strength, it is reliable with a minimum maintenance of anastomositis phenomenon, the design is quite simple, do not require microsurgical technique. Its use allows to adapt anastomosises departments of different diameters. When using single-row suture overthrowing possible to produce a wider resection of the stomach Billroth-I, because this method of anastomosis does not need to surround the mobilization of the duodenum to perform technically not always possible.

Hernias are one of the most common surgical pathologies, the incidence of external hernias of the abdominal wall is 4-7%.Infringement in inguinal hernia is the most frequent complication and according to the data of domestic authors 10-17% of all cases of the disease. Most often, the small intestine (63-68%), then the omentum (16-20%), the large intestine (6-8%), at the same time the small and large intestine (3-4%), the omentum and gut (4-5%). Impaired function of the cecum in the left inguinal hernia - a rare phenomenon that occurs in some cases, abnormalities of location and attachment to the caecum. The article describes a clinical case of infringement of the cecum and аppendix in the left oblique inguinal hernia.

Liposarcoma - a malignant tumor of adipose tissue. Can affect any parts of the body, but often localized in the proximal lower limbs, retroperitoneal tissue, or in the shoulder area. Method of treatment of liposarcoma is surgical.The relevance of this article is to reveal to the young surgeons about the causes, clinical picture, complications, early diagnosis and treatment of liposarcoma.

The article is devoted to the analysis of the problem of urolithiasis. Particular attention is paid to the issues of polyethiologic and multifactoriality of the pathogenesis of urolithiasis. The authors state their views on the current state of the problem of general prophylaxis and the specific metaphylactics of urolithiasis. It is pointed out that modern methods of metaphylaxis allow to significantly reduce the activity of stone formation and the number of relapses of the disease after surgical interventions. The authors believe that one of the new solutions to the problem of prophylaxis and metaphylaxis of urolithiasis is the development of a method of systemic metaphylaxis, which should be constructed within the framework of the theory of sanogenesis. The article theoretically substantiates the necessity of using pharmacological preparations having adaptogenic action. The authors believe that, in addition to the renal risk factors for urolithiasis, extrarenal risk factors should be identified. The possibility of applying 0.06% sodium hypochlorite solution to reduce the lithogenic potential of urine, improve the efficiency of the tubular apparatus of the kidney, and eliminate the extrarenal risk factors for urolithiasis is discussed.