I agree with wroggent about the switch fuse locations though I think Schneider could have done a better job with the diagram. Here's my take:
Figure 5.4 - Each Load Interrupter switch/fuse combination is physically located next to the substation transformer. Since the only overcurrent protection device upstream of the primary conductors for each transformer is the medium voltage circuit breaker, a fault on either of these two feeder sections will trip the MV CB and cause a system wide outage. This is specifically why 5.4 is less reliable than 5.5
Figure 5.5 - Each Load Interrupter switch/fuse combination is physically located at the medium voltage switchgear (though not apparent in the diagram). The substation primary isolation switch is located next to the transformer. The conductors between the upstream fuse and the isolation switch make up a dedicated feeder to each transformer (whereas in the previous arrangement, they were essentially two sections of the same feeder). A fault on any single feeder will cause a power outage only to the loads within the upstream fuse's zone of protection (1/2 the system). This is more reliable than 5.4 because multiple simultaneous feeder faults are required to take out the entire system.
As far as maintainability goes, having switches at both ends of a feeder allows for complete isolation.