[Early abdominal second interventions following gynecologic surgery]

Relaparotomies in the early postoperative period had to be performed after abdominal gynaecologic procedures in 1,180/00 after vaginal operations in 0,180/00 and after caesarean sections in 3,910/00 of all cases. The indications for the reoperation were: intestinal obstruction (6), hemorrhage (4), paralytic ileus (3), defect of the uterine wall after caesarean section (1) and after enucleation of a fibroid (1), acute appendicitis (1) and peritoneal shock (1). After the 2nd operation 2 patients died; 1 relaparotomy could have been avoided if a septic thrombosis of the right ovarian vein would not have been mistaken for an acute appendicitis.