[The Taylor method in the treatment of perforated XXXX : is it really obsolete?].

@entity1 @entity10189 @entity1066 @entity177 @entity158 @entity1173
98 perforated @entity10189 are studied. The overall mortality rate is low (8 per cent), but much higher in elderly, debilitated @entity1 (42 per cent), who must undergo surgery immediately. The time elapsed between the last meal and the onset of @entity158 between the onset of @entity158 and admission to the hospital have no direct influence on the immediate results. These depend especially on the clinical status of the @entity1 on admission and on the quality of repeated clinical examinations. The early criteria for necessity of surgical treatment (20 per cent) are determined; the prognosis is not worse if the operation is performed after a few hours of @entity1173 . Immediate success does not eliminate the risk of @entity177 (5 per cent). The aim of Taylor's method is treatment of possibly lethal perforation: treatment of the @entity1066 is carried out later after a complete clinical workup. "Acute" @entity1066 are treated medically, "chronic" ones by radical surgery. 28 out of 43 @entity1 treated medically and followed up on the average 6 years later have a good or very good result. This study confirms the usefulness of Taylor's method in the treatment of perforated @entity1066 because this method is simple, and often successful (70 per cent). By Taylor's method, followed by a properly managed medical treatment, a large number of @entity1 definitely avoid surgical treatment.
