Postoperative ileus is a common complication in colorectal surgery. The results of our study suggest at least two surgeon-dependent risk factors, i.e., open approach and opioids in the postoperative period. This article is protected by copyright. All rights reserved.

Following low restorative proctectomy, the high NPV of CRP and PCT measurements for the diagnosis of anastomotic leaks may assist decision-making for early hospital discharge.

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Aim.Investigation of possibilities of magnetic resonance imaging as a whole, as well as different modes of MR scanning (without intravenous contrast, with intravenous contrast, with the use of diffusion-weighted imaging) in the diagnosis of cryptogenic fistulas of the rectum.Materials and methods. In the study were included 50 patients with cryptogenic fistulas of the rectum (21 women and 29 men). All patients underwent magnetic resonance imaging of the pelvic organs.Results.The sensitivity of MRI in the diagnosis of the primary fistulas was 100%. With regard to secondary fistulas MRI sensitivity was 91.7%, specificity was 94.3%. The sensitivity of MRI in the diagnosis of chronic abscesses paraproctitis was 82.6%, specificity was 95.2%. The sensitivity of the method in the visualization of internal opening was 95.5%, specificity was 80.0%. The sensitivity of the method in the diagnosis of external openings was 91.7% and specificity was 100%. In the analysis of separates MR scanning mode we didn’t find statistically significant differences between them (p < 0.05). Conclusions.Magnetic resonance imaging has a high diagnostic efficacy in the diagnosis of cryptogenic perianal fistulas. We didn’t find statistically significant differences between MR scanning modes.

Pelvic floor descent syndrome (PFDS) affects multiparous and postmenopausal women. According to epidemiological studies in postmenopausal women, more than 50% suffer from severe symptoms of PFDS, which significantly reduce the quality of life. The high prevalence of pelvic floor pathology increases the need for multimodal diagnosis and treatment. The pelvic floor is a unique anatomical and functional structure and malfunction of this system may lead to many different static and functional disorders. There are a lot of methods of medical imaging modalities for PFDS (X-ray defecography, perineal ultrasound, MR defecography). MRI defecography allows to visualize in detail all three parts of the pelvis, including soft tissues and supporting structures; to evaluate structural and functional pelvic abnormalities in a single study. The range of normal mobility of the pelvic floor and pelvic organs on MRI defecography is still required.