second-look operation

sec·ond-look op·er·a·tion

exploratory celiotomy within a year after apparently curative resection of intraabdominal cancer, in patients with no sign or symptom of recurrence, to resect an occult tumor if present.

'second-look' operation

A 2nd surgical procedure in the same site as a previous operation, often abdominal, with the intent of continuing therapy that could not be completed for various reasons during the 1st operation General surgery An operation to re-examine questionably viable segments of small intestine 24-48 hrs after an initial massive resection for ischemia, with the hope that enough small intestine–at least 30% remains viable, thereby circumventing 'short bowel syndrome'. See Short bowel syndrome Gynecologic oncology A laparotomy for advanced and presumably inoperable ovarian CA, which was later re-examined to determine whether RT and/or chemotherapy is successful in reducing tumor size to allow debulking surgery, or determine whether RT and/or chemotherapy may be discontinued or requires modification Surgical oncology SLOs are performed in colons previously resected for adenoCA and monitored by CEA levels; an ↑ of CEA > 35% above the Pt's established baseline suggests metastastatic recurrence; at operation, <12 are resectable. See Debulking operation.

sec·ond-look op·er·a·tion

(sek'ŏnd-luk' op-ĕr-ā'shŭn)
Exploratory celiotomy within a year after apparently curative resection of intraabdominal cancer, in patients with no sign or symptom of recurrence, to resect an occult tumor if present.
References in periodicals archive ?
I do not routinely perform an endoscopic evaluation of the ear except for patients who are undergoing a second-look operation and for those who have unique pathology that requires visualization of narrow recesses, such as the protympanum-proximal eustachian tube.
Initially, the CA 125 test was approved for use postoperatively in patients to determine the likelihood that tumors would be found at a second-look operation (7).
In addition, the laparoscopic technique is currently being used in lieu of lapartomy for second-look operations for patients who are status/post colon resection for colon cancer, as the technique appears to be particularly well-suited for patients who may have abdominal adhesions secondary to previous surgery.

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