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.