This article presents the 14-year experience of surgical treatment of pulmonary atresia with ventricular septal defect and pulmonary collateral blood bed. The surgery of defect was performed on 32 patients and they were followed up. The individual and differential approaches should be used in the choice of surgical strategy. This approach is based on the state of pulmonary arterial and collateral beds. An integral criterion of assessment was the common neo-pulmonary arterial index with boundary measure equal 150 mm²/m². An application of given method allowed the performance of successful radical repair of defect in 15 patients, 4 patients having been operated in one stage. The rest of the patients had the appropriate staged interventions. The lethality consisted of 9,4%.

The results of plasty (124 patients) of postinfarction left ventricurar aneurysm performed on the working heart are presented in this article. It is shown, that the upgrade of existing surgical techniques, which are directed to the creation of the optimal left ventricle shape, could improve the clinical results after plasty of postinfarction left ventricular aneurysm. It’s important to arrange the conditions, which allow avoiding a negative influence on contractility function of the myocardium. The desired conditions could be obtained, if the plasty is performed on the working or fibrillating heart provided that the patient has a consistent aortic valve.

The authors demonstrate the results of treatment (16 patients) with giant paraesophageal and posttraumatic diaphragmatic hernia. The article represents the main principles of operation management, key moments of the choice of access, operative techniques and also the features of the usage of modern reticular implants.

The article analyzes the experience of application of polymeric (mesh) implants for hiatal closure in patients with gastroesophageal reflux disease (GERD). The authors showed the main principles of the choice of mesh implants and recommendations to their usage. Principal technical stages of surgery are described. It is noted, that the application of prostheses had the high efficiency and safety in antireflux surgery.

An experimentally-clinical assessment of reparative regeneration collagenation of gastroduodenal anastomosis was made. The anastomoses were formed by different ways: the inverted twin-row (classical) and everting one-row anastomosis. It was stated, that tissues repair on suture-line of the everting anastomosis took place faster and better (on a type of primary intention with wound epithelization on 3–5 days). It was specified by comparatively smaller biophysical metabolic disorders in regenerative structures and characteristics of tissues adaptation (broad zone of anatomic alignment of submucous layer of gastric stump and muscular coat of duodenum stump) in anastomosis zone.

A retrospective analysis of treatment of 82 patients with torsion and necrosis of appendices epiploica was made. The video-laparoscopic surgery of these patients was performed. When the diagnosis is unclear, the differential diagnostics should be made between the appendices epiploica disease and other abdominal diseases using the video-laparoscopy. This method allowed the establishment of the correct diagnosis of torsion and necrosis of appendices epiploica in 95,1% of patients. The laparoscopic treatment was made in 87,8% of cases with minimal quantity of postoperative complications. The video-laparoscopy allowed the detection of accompanying pathology of abdominal organs and performance of the correction by low-invasive method. The need of conversion occurred in 12,2% of patients. Postoperative period was characterized by uneventful recovery, minimal usage of analgesics and antibiotics, early stages of rehabilitation, perfect cosmetic effect in majority of patients.

The study (on 27rabbits) of postponed tissue reaction of abdominal wall was done after web space plasty of standard, light and superlight polypropylene endoprostheses on 30^th, 60^th and 120^th days. It was stated, that the standard polypropylene prosthesis was the most suitable for endoprosthesis replacement of abdominal wall in strangulated ventral hernia. The light polypropylene endoprosthesis should be used in the uncomplicated hernia. The superlight polypropylene prosthesis should be applied for preventive endoprosthesis replacement of abdominal wall in its anatomico-functional insufficiency.

The postcava tumor thrombosis had about 1/3 of patients with renal cell carcinoma at the initial examination. Reconstructive interventions were performed on the postcava for 38 patients (24 men, 14 women). The postcava thrombectomy was applied in 15 patients. The thrombectomy with postcava resection were carried out in 13 patients and plasty- in 6, prosthetics-in 4. An actuarial 3-year or 5-year survival rate of patients consisted of 59,4% and 42,2%. The performance of reconstructive interventions on postcava with its involvement was justified and provided satisfactory results in patients with renal cell carcinoma.

Patients with arteriovenous fistulas (648 cases) were examined for hemodialysis. The ischemic steal syndrome was detected in 47 patients and it was associated with vascular access for hemodialysis. A frequency of given complication was studied with correlation of the type of vascular access. The data of clinical and instrumental examination were described. It was revealed, that the development of steal syndrome was influenced by the blood circulation volume velocity on fistulas. Different reconstructive operations were performed on 42 patients in order to save the access for hemodialysis and eliminate the ischemia. The ligation of fistula was carried out for 5 patients. The survival of arteriovenous fistulas after reconstructive operations was till 46 months during the period of follow-up study.

The experience of treatment of 41 patients (aged 32–67years) was presented in the article. The duration of disease was 2–5 years. Primary hyperparathyroidism was diagnosed in 16 patients and secondary — in 25. Diagnostics of the disease included clinical methods of treatment; studying levels of general and ionized calcium, phosphorus, parathormone; an ultrasound of thyroid and parathyroid glands, the substratum scintigraphy. All patients were undergone the operation. Adenomas of parathyroid glands were removed in the case of primary hyperparathyroidism including mini-access. Hyperplastic parathyroid glands (3½) were disposed in the case of secondary hyperparathyroidism. Good immediate and long-term results were obtained.

The retrospective research included 1983 patients with different abdominal surgical pathology. Parameters of homeostasis were estimated in preoperative period and early postoperative period. Frequency of occurrence and relevance of different clinical risk factors of thrombosis were analyzed. The rate of development of thromboembolic complications was investigated in studied subgroup of patients. It was revealed, that high risk groups of thrombosis progress were the patients with malignant disease of the pancreas, the esophagus, the large and straight intestine as well as obstructive jaundice of malignant genesis. The most significant clinical factors were the presence of malignant process, accompanied by cardiac pathology, dehydration and high number (3 and more) on ASA scale.

The study was devoted to the problem of postoperative eventrations in gynaecological practice. Coaptation removable sutures were applied in order to prevent similar complications. Operations were performed in the cases of desolate condition of purulent disease of the uterus and uterine appendages with diffuse suppurative peritonitis. An advanced operative technique of suturing through all layers of abdominal wall demonstrated its high efficacy. No one patient (from 39) had the eventration or wound abscess.

The article showed the clinical experience using video-assisted pulmonary resection in tuberculous patients (47 operations). Upper lobectomy on the right was carried out in 10 (21, 3%) cases. Upper lobectomy on the left was performed in 6 (12,8%) cases. This fact could be explained by the frequency of affection of mentioned lung sites in tubercular process. A level of intraoperative complications consisted of 8,5% in video-assisted lung resections. The rate of postoperative complications was 10,6%. General efficacy of the application of video-assisted lung resections estimated 97,9%.

The patients (11 cases) with massive invasion in the thoracic aorta have been operated in the period from 2002 till 2010. The tumor of left lung was diagnosed in 9 cases and tumor of the mediastinum — in 2 cases. Prosthetics of the arch of aorta was performed under condition of artificial circulation in 6 cases. The prosthetics of the descending aorta was performed in 5 cases. A condition of artificial circulation was partially used in 1 case, fully used in one and the assist circulation was applied in 3 cases. The hospital lethality consisted of 4 patients. The common number of patients with severe hospital complications was 5. The survival of one-, two- or three — year estimated 36,4±14,5%, 18,2±11,6% and 0% respectively. A median of survival was 1,63 months. The remaining 7 patients died in a long-term period. The cause of death was a progress of tumor process in vast majority of cases.

An analysis of the condition of emergency surgery for the patients with acute abdominal diseases was made in the period of 1972–2012. The dynamics of surgical beds provision and surgical personnel were taken into account. The authors investigated the rate of general and postoperative lethality, tendencies and regular occurrences and leading reasons of negative results in given diseases. Reserves of futher decrease of the lethality were considered and it was associated with shortening of hospitalization part later than 24 hours. The future improvement of intensive therapy and resuscitation, more wide application of minimally traumatic techniques of surgical treatment could give better results in this group of patients.