[Revision laparotomy in patients with high surgical risk]

Results of analysis of exitus letalis in 256 patients, in 36 of whom relaparotomy was conducted, were adduced. There were established prognostically significant factors of the surgical treatment risk, which was choosed for the absence of alternative methods. It was established, that the main cause of mortality of patients in 7.2-10.9% of cases was the complicated course of the disease. The main diseases, in which the need for relaparotomy performance occurs, are gastric, colonic, rectal, hepatopancreatobiliary zone cancer, complicated gall-stone disease. The mortality risk during performance of treatment constitutes 6.41%. In 93.8% of patients atherosclerotic affection of cardiac coronary vessels was revealed, demanding conduction of the staged cardiosurgical correction. The direct cause of the death were cardiovascular system diseases on background of the principal disease progressing.