The paper deals with the analysis of reasons for repeat surgery in 242 patients who had undergone sparing operations on the inner genitals for tumors of various origin. In 121, sparing surgery had been performed for benign tumor of the ovary whereas in 70--for underdiagnosed malignancy. At the time of the first operation, 55 patients were more than 45 years of age; 33 of them subsequently died of advanced ovarian cancer. Out of 187 cases who had been operated on at younger age, 37.9% subsequently underwent surgery for malignant tumor of the second ovary. The origin and histological pattern of ovarian tumor should be considered when choosing the extent of surgery. Cases of sparing surgery for ovarian tumors should be followed-up.
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