We have experienced 5 children with massive necrotic change in the intestine, and were able to preserve as much intestine as possible by the method of second look operation.This paper reports these five cases and gives an evaluation of the method and its efficacy. Since it is difficult to make a clinical determination of the viability of an injured intestinal segment at the time of one stage operation, importance of perioperative intensive care, is stressed. Intestinal exteriorization should be considered depending on the general condition and length of the injured intestine.
