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The article deals with separate approaches to relaparotomy based on the studies of tye results of sanitation relaparotomy (SRL) in 36 patients with abdominal trauma complicated by postoperative peritonitis. The analysis of the rating information of surgeons involved in the SRL have been carried out. With a multiple organ failure, the lethality after SRL increases 4-fold. If surgeons of higher professional skills participate in the process of SRL, the chances of a favorable outcome of the operation increase, and the level of adverse outcome markedly reduces.