The purpose of the present review to submit the analysis of a current state of a problem of postoperative anesthesia and to systematize data on analgetichesky efficiency of nonsteroid anti-inflammatory preparations (NPVP). Safety issues of a ketorolak in comparison with other NPVР are discussed. The conclusion that ketorolak - a preparation with very favorable combination of powerful analgetic action and good tolerance is drawn. Clinical trials and a wide experience of application of a ketorolak allow to consider that it is a choice preparation for treatment of postoperative pain of average and moderate intensity.

Chronic vein diseases (CVD) depending on the design and evaluation criteria of conducted epidemiologic studies are diagnosed in 20-85% of adult residents of industrially developed countries. Meanwhile only due to appearance of the unified international classification CEAP it has become possible to reliably estimate the frequency and structure of CVD in various countries of the world. Moreover, implementation of СЕАР in the routine clinical practice determined the necessity of unification of terminology used with respect to CVD and their manifestations. In particular, clear definitions of notions "chronic vein diseases (CVD)" and "chronic venous insufficiency (CVI)". In the first case the matter at issue is all - functional as well as pathomorphologic - CVD manifestations. CVI is issued to designate graver forms of the disease accompanied by objective signs of venous macrohemodynamics disturbances. In other words, the diagnosis "chronic venous insufficiency" can be used with respect to patients with C3 (chronic venous edema) - С (active trophic ulcer) of the СЕАР clinical class [1, 2].

Thrombophlebitis (inflammation and thrombosis of superficial veins of any localization) is a frequent pathologic state. In the special literature they use notions varicothrom-bophlebitis for designation of thrombosis and inflammation of the varicose vein as well as phlebitis - inflammation of the superficial vein without thrombosis. A traditional error is idea of thrombophlebitis as of local, self-limited process that as opposed to deep vein thrombosis has no serious dangers for life and health of patients. This position is a profound mistake hrombophlebitis (inflammation and thrombosis of superficial veins of any localization) is a frequent pathologic state. In the special literature they use notions varicothrom-bophlebitis for designation of thrombosis and inflammation of the varicose vein as well as phlebitis - inflammation of the superficial vein without thrombosis. A traditional error is idea of thrombophlebitis as of local, self-limited process that as opposed to deep vein thrombosis has no serious dangers for life and health of patients. This position is a profound mistake

Currently no less than 3 mln people in the Russian Federation suffer from venous trophic ulcers [1]. The dynamic venous hypertension plays the major role in the modern representation of chronic vein insufficiency pathogenesis, which predetermines the priority of surgical methods of this pathology therapy. At the same time, according to the data of P.D. Colerige Smith (2003) and Н. Partsch (2003), due to the large amount of absolute and relative contraindications the surgical intervention is performed only for one patient out of four.urrently no less than 3 mln people in the Russian Federation suffer from venous trophic ulcers [1].

Haemorrhoid is a disease of external and internal hemorrhoidal nodes. Chronic hemorrhoids is characterized by major symptoms: bleeding and prolapsed hemorrhoids from the anal channel. The course of hemorrhoid is of wave-like nature, and chronic processes are changed by exacerbations.

An acute anal fissure causes sharp pains during stool and after defecation. The disease is often accompanied by exacerbation of hemorrhoid, which is often observed in women at late pregnancy terms and after difficult delivery. In order to repair the acute anal fissure it's necessary to remove the pain spasm of anal sphincter, rectal suppositories proved their effectiveness in this respect

The appearance of blood in the bowel movement is one of the most disturbing and serious symptoms of diseases of the gastrointestinal tract (GIT), especially its lower divisions whistleblower intestinal vascular integrity and mucous membranes. Invaluable in the diagnosis of bleeding from the lower GIT endoscopy is the colon, allowing to establish the source of bleeding in more than 90% of patients. The key to accurate diagnosis and successful treatment in the future is the optimal preparation of the patient for endoscopy. A number of foreign and domestic studies demonstrated high efficacy and safety of use in preparation for endoscopy / X-ray examination of the colon and for surgery on the colon preparation Fleet® Phospho-soda.

The pain in the lower back the treatment of which remains one of the priority directions of the modern medicine is a heavy burden for patients as well as for the healthcare on the whole. In our country pan in the lower back accounts for 76% of all cases of application for medical aid and 72% of days of temporary incapacity to labour in the outpatient-polyclinic network [1].

The article provides data on the patient with chronic dissecting aorta of type III under DeBakey, who was operated on once in the Filatov municipal clinical hospital No. 16 of the Moscow Healthcare Department and data of his subsequent outpatient follow-up.he article provides data on the patient with chronic dissecting aorta of type III under DeBakey, who was operated on once in the Filatov municipal clinical hospital No. 16 of the Moscow Healthcare Department and data of his subsequent outpatient follow-up

Venous thromboembolic complications (VTC) including deep veins thrombosis and pulmonary artery thromboembolia are sufficiently frequent but preventable states. In industrially developed countries 1-2 cases of VTC per 1 thousand persons per year are registered. In USA 900 thousand patients suffer from VTC annually. But these figures are most likely conservative as due to diffuseness of a clinical pattern and insufficient sensitivity of screening tests the frequency of verified VTC doesn't exceed 60-70% [1, 2].

Pain is a symptom of many pathologic states and one of the major reasons to apply to the doctor. More than 70% of all known diseases manifest themselves by pain of various nature and of various degree of intensity and the chronic pain prevalence in the population varies from 2 to 49% [24]. That's why indication of radical analgesics is one of the major tasks of the medical specialist in the day-to-day clinical practice.

Vein thrombosis in the lower vena cava system is a frequent pathology and makes up to 90-95% of venous thromboses. The venous system thromboses should be viewed as a potential danger of the pulmonary artery thromboembolia development with grave consequences [1]