Antibiotic can not eliminate the source of infection. Redo peri apical surgery is not a wise decision. If apicoectomy works, it should work the first time, unless the surgeon did not do a good job. However, seeing another endodontist for second opinion is advised.
My endodontist wants to do another apical surgery but did indicate that I may require more than one more procedure, etc., etc. I don't understand why this can't be handled via antibiotics. Are you a professional and if so any other alternatives to my problem?
If the abscess comes from another tooth and the canal was optimally obturated, another apical surgery may solve your problem. Seeing an endodontist is advised.