[General management and operative therapy of progressive or recurrent ovarian cancer].

High relapse rates and poor therapeutical results of a secondary chemotherapy or of surgery and radiation can be expected in advanced ovarian carcinoma. Supportive care must stand in the foreground of therapeutical attention. Furthermore, intraperitoneal forms of therapy (radioisotopes or cytostatic agents) must be tried out. Rectal obstructions occur in about 35% of all patients. A successful operation leads to a prolongation of the survival time.