The previous issue highlighted the key challenges and the core regulations governing the patient's right to choose a healthcare organization. Following up upon the subject, we offer to find out more about the aspects of the patient's right to choose a doctor. The previous issue highlighted the key challenges and the core regulations governing the patient's right to choose a healthcare organization. Following up upon the subject, we offer to find out more about the aspects of the patient's right to choose a doctor

Kinesiology taping has been known for more than 30 years worldwide. The method is most widely used in the field of sports medicine due to its high efficiency and the possibility to quickly obtain the result without compromising motor activity.inesiology taping has been known for more than 30 years worldwide. The method is most widely used in the field of sports medicine due to its high efficiency and the possibility to quickly obtain the result without compromising motor activity.

The place of nonsteroid resolvents (NPVS) in treatment of a postoperative pain syndrome is considered. Safety issues of a nimesutid in comparison with other NPVS are discussed. The conclusion is drawn that nimesutid - a preparation with very favorable combination of powerful analgetic, anti-infLammatory action and good tolerance. CLinicaL trials and a wide experience of application of a nimesutid aLLow to consider that it is a choice preparation for treatment of postoperative pain of average and moderate intensity.he place of nonsteroid resolvents (NPVS) in treatment of a postoperative pain syndrome is considered. Safety issues of a nimesutid in comparison with other NPVS are discussed. The conclusion is drawn that nimesutid - a preparation with very favorable combination of powerful analgetic, anti-infLammatory action and good tolerance. CLinicaL trials and a wide experience of application of a nimesutid aLLow to consider that it is a choice preparation for treatment of postoperative pain of average and moderate intensity.

The articLe discusses the indications and conditions for the use of fLuoroquinoLones (ciprofloxacin, LevofLoxacin, moxifLoxacin) in surgicaL infections of the skin and soft tissues in ambuLatory patients. Various aspects of the use of fLuoroquinoLones are described from the standpoint of rationaL antibiotic therapy, the current sensitivity status of microbiaL agents in Russia, high-quaLity comparative cLinicaL findings and in accordance with the nationaL guideLines.he articLe discusses the indications and conditions for the use of fLuoroquinoLones (ciprofloxacin, LevofLoxacin, moxifLoxacin) in surgicaL infections of the skin and soft tissues in ambuLatory patients. Various aspects of the use of fLuoroquinoLones are described from the standpoint of rationaL antibiotic therapy, the current sensitivity status of microbiaL agents in Russia, high-quaLity comparative cLinicaL findings and in accordance with the nationaL guideLines.

An overview of the new guideLines of the European Society for VascuLar Surgery. Non-surgicaL (conservative) treatments of chronic venous diseases (CVD) of various cLinicaL cLasses are of paramount importance due to their versatiLity and affordabiLity. Compression therapy is primarily impLied when speaking about conservative treatment of CVD. It stiLL remains the cornerstone on which aLL other therapeutic and preventive approaches are based.n overview of the new guideLines of the European Society for VascuLar Surgery. Non-surgicaL (conservative) treatments of chronic venous diseases (CVD) of various cLinicaL cLasses are of paramount importance due to their versatiLity and affordabiLity. Compression therapy is primarily impLied when speaking about conservative treatment of CVD. It stiLL remains the cornerstone on which aLL other therapeutic and preventive approaches are based.

The articLe discusses the main criteria for the seLection of anticoaguLation therapy in patients with venous throm-boemboLic compLications (VTEC) in different cLinicaL situations. The presented data are sourced from the Russian and global guidelines on the treatment and secondary prevention of the disease, as well as the authors' own experience at the Pirogov center. The focus is on the possibility of outpatient management of specific subgroups of patients with VTEC.

Che literature review summarizes findings from the foreign and domestic sources related to the history, diagnosis and treatment methods for pelvic varicosity - quite a widespread pathology, though virtually unknown to a wide range of doctors of various specialties.

Chronic venous disease (CVD) of the lower extremities is a relevant healthcare problem today. The prevalence of CVD, with the predomination of early stage diseases, particularly among socially-active population, is a crucial factor that allows to plan and effectively implement the novel preventive and treatment schemes. In addition, the pathology is daily faced by doctors of virtually all specialties, and their knowledge and skills determine the course of our common fight against the «disease of civilization». Both Russian and global clinical guidelines for the diagnosis and treatment of CVD describe all aspects of the pathogenesis, treatment approaches and regimens for all stages of the disease. Application of the recent treatment algorithms could allow for a qualitative and adequate therapy for patients with chronic venous disease. Along with surgery, conservative treatment is widely used as a mandatory method of treatment of the pathology.

Venous trophic ulcers are the result of serious circulatory disorders against a background of varicose or post-thrombotic disease of the lower extremeties. According to various authors, they complicate the course of chronic venous insufficiency in 15-18% of cases and account for about 70% in the overall structure of different types of lower-extremity ulcers. Venous trophic ulcers are found in 1-2 % of the adult working-age population and in 4-5% of the elderly. The long-term, recurrent disease degrades the quality of life of patients.

The incidence of bed sores in patients in the developed countries is about the same and amounts to 16% of the complications of other diseases (US and UK). At the same time, according to the results of a specialized US study (Brandeis G.H., Morris J.N., 1990), if the caregivers were specially trained nurses and attendants, the prevalence of bed sores was reduced by 2-3 times. Mortality in patients with decubitus ulcers, according to different authors, varies widely (21-88,1%). Such patients died of wound sepsis.

The past three decades have seen a steady increase in the incidence of colon cancer. Malignant obstruction of the colon is the second most common obstruction after adhesion.

The high prevalence of hemorrhoids makes it necessary to improve traditional (surgical) methods of treatment, as well as to search for new, minimally invasive approaches appropriate for ambulatory settings and allowing to reduce disability periods and the number of complications. The aim of the study was to evaluate immediate and long-term results of treatment of grade 3 internal hemorrhoids with the national «Polyus» laser and radial laser waveguide, compared with the use of a well-known sclerosing technique with 3% aetoxisclerol solution. The prospective cohort, randomized, comparative study of two groups of patients comparable by sex, age and clinical manifestations was conducted, and immediate and long-term results (in one year) of the treatment were evaluated. Based on the findings, the authors concluded that, by its minimal invasiveness, INCL technique is comparable with sclerotherapy of hemorrhoids with 3% aetoxisclerol solution, however, in the long term, it is associated with better outcomes based on the overall evaluation.

The review is devoted to comparative analysis of the existing strategies of analgesia in the postoperative period, including the use of opioids, non-narcotic analgesics and combination medications, in terms of their efficacy and safety.

The article presents the four years' experience of ultrasonic researches of venous blood-groove, made 12394 ambulatory and stationary patients with acute venous pathology in Central clinical hospital of the Russian Academy of Sciences. On big clinical material stated the methodology of primary and dynamic ultrasonic researches at patients with conservative treatment of venous thrombosis and with various methods of surgical prevention of a pulmonary embolism. The special attention is paid to interpretation of results of ultrasonic researches in respect of pulmonary embolism probability. Results of application of the offered methodology of ultrasonic research in practice of a hospital and diagnostic center are analyzed.

One of the actual problems of the long phase of the postoperative period is the formation of chronic postsurgical pain (CPSP). At the outpatient stage patient cura-tion with CPSP exercise clinic surgeon or a doctor of first contact (therapist or general practitioner), which is particularly relevant question of choosing the optimal preparation of the NSAID group. From the standpoint of efficiency and drug safety a promising drug from the group of NSAIDs is amtolmetin guacil.

The article analyzes the effectiveness of use of exogenous nitric oxide in outpatient settings for the treatment of traumatic purulent soft tissue infection complicated by inflammation and trophic lesions against a background of lower extremity varicose veins and diabetic foot syndrome.

The article analyzes the effectiveness of use of exogenous nitric oxide in outpatient settings for the treatment of traumatic purulent soft tissue infection complicated by inflammation and trophic lesions against a background of lower extremity varicose veins and diabetic foot syndrome