EXAMINATION OF REOPERATIVE ABDOMINAL SURGERY

Although operative methods and management have been improved, but an appreciable number of cases are still subject to reoperation due to postoperative complication. We examined 92 cases of reoperative gastrointestinal surgery experienced in our department during a 14-years period.The reuslts were as follows: 1) Incidence of reoperation was 3% and there was difference between the previous and latter terms. 2) Although sutural insufficiency was decreased, postoperative bleeding and ileus were increased in the latter term. 3) Reoperation was done more frequently between 1 and 8 days in the previous term and between 14 and 21 days in the latter term. 4) Patients aged between 30 and 80 years accounted for as much as 77% of reoperative cases. 5) The prognosis for reoperation was unfavorable in malignant than in benign primary cases. 6) Of the 92 examined cases, 30 resulted in death, most of which involved reoperation in the early postoperative period. Old persons accounted for 50% of the cases. The prognosis in old patients depends upon the presence of asymptomatic functional disorders of organs.