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death_n age_n old_a year_n 4,796 5 5.3056 4 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A47964 A treatise of chirurgical operations after the newest, and most exact method founded on the structure of the parts ... : to which is annex'd A general idea of wounds / written originally by Joseph De la Charier ; and translated into English by R. B. La Charrière, Joseph de, d. 1690.; R. B., fl. ca. 1695. 1696 (1696) Wing L134A; ESTC R43339 135,106 375

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the_o most_o violent_a and_o caustie_a acid_n as_o aq._n fortis_fw-la spirit_n nitri_fw-la &c._n &c._n can_v dissolve_v it_o we_o make_v they_o know_v also_o that_o if_o ever_o these_o impostor_n have_v any_o medicine_n capable_a to_o produce_v such_o effect_n without_o alter_v any_o part_n before_o they_o be_v past_o the_o stomach_n intestine_n receptacle_n of_o the_o chile_n heart_n lung_n and_o in_o the_o most_o insensible_a way_n where_o they_o mingle_v with_o the_o blood_n and_o humour_n they_o will_v doubtless_o lose_v their_o quality_n and_o dissolve_v virtue_n therefore_o there_o be_v nothing_o can_v free_v we_o from_o such_o a_o cruel_a disease_n but_o the_o operation_n operation_n nothing_o can_v free_v we_o of_o the_o stone_n but_o the_o operation_n after_o have_v use_v general_a remedy_n as_o bleed_v gentle_a purge_v and_o clyster_n unless_o the_o stone_n be_v of_o a_o extraordinary_a bigness_n and_o there_o be_v a_o complication_n of_o disease_n if_o the_o stone_n be_v of_o a_o moderate_a bigness_n prognostic_n prognostic_n the_o operation_n be_v less_o dangerous_a if_o it_o be_v big_a and_o stick_v in_o the_o bladder_n it_o be_v more_o to_o be_v fear_v because_o of_o the_o ruption_n of_o the_o vessel_n and_o of_o the_o great_a laceration_n it_o cause_v to_o the_o part_n which_o be_v always_o accompany_v with_o inflammation_n convulsion_n fever_n gangrene_n and_o often_o death_n especial_o in_o young_a who_o be_v not_o over_o nine_o year_n of_o age_n and_o who_o part_n be_v soft_a and_o tender_a or_o in_o old_a who_o part_n be_v dry_v up_o and_o inflexible_a as_o it_o be_v through_o the_o little_a heat_n and_o humidity_n which_o we_o find_v in_o they_o if_o the_o bladder_n be_v ulcerate_v and_o there_o be_v any_o great_a hemorrhage_n or_o some_o carnosity_n you_o must_v avoid_v the_o operation_n all_o these_o particularity_n belong_v to_o the_o prognostic_n of_o the_o disease_n you_o must_v observe_v that_o these_o sort_n of_o subject_n often_o relapse_n and_o if_o the_o operation_n be_v not_o reiterated_a you_o will_v find_v a_o quarry_n in_o their_o bladder_n chap._n xix_o of_o the_o extraction_n of_o the_o stone_n have_v thus_o consider_v the_o precedent_a circumstance_n you_o may_v hazard_v the_o operation_n but_o before_o it_o be_v necessary_a to_o stir_v the_o stone_n by_o some_o motion_n and_o to_o empty_v the_o bladder_n of_o its_o urine_n operation_n the_o situation_n of_o the_o patient_n in_o the_o operation_n place_v the_o patient_n on_o the_o brink_n of_o a_o bed_n his_o back_n on_o a_o even_o sloap_a board_n his_o thigh_n open_a knee_n near_o his_o belly_n his_o heel_n draw_v up_o to_o his_o brich_n and_o his_o hand_n hang_v down_o on_o the_o side_n of_o his_o ankle_n to_o keep_v the_o patient_n in_o this_o posture_n you_o have_v a_o band_n with_o which_o you_o support_v the_o thigh_n low_a end_n of_o the_o leg_n and_o hand_n and_o after_o some_o turn_n of_o the_o band_n you_o pass_v it_o upward_o about_o the_o shoulder_n and_o drip_v it_o behind_o the_o back_n you_o repass_v it_o about_o the_o other_o shall_v to_o bind_v the_o hand_n leg_n and_o thigh_n of_o the_o opposite_a side_n this_o posture_n be_v very_o proper_a to_o execute_v this_o design_n for_o it_o uphold_v the_o bladder_n and_o give_v liberty_n to_o the_o muscle_n of_o the_o abdomen_fw-la to_o relax_v and_o bend_v as_o they_o former_o do_v gripe_n the_o manner_n of_o cut_v for_o the_o stone_n by_o the_o aparatus_fw-la minor_fw-la or_o gripe_n the_o patient_n be_v in_o this_o posture_n the_o chirurgeon_n dispose_v himself_o to_o the_o operation_n if_o it_o be_v by_o the_o little_a aparatus_fw-la which_o be_v not_o so_o much_o in_o use_n he_o wett_v his_o index_n and_o middle_a finger_n in_o some_o oil_n or_o other_o unctuous_a matter_n and_o introduce_v they_o a_o little_a oblique_o into_o the_o anus_fw-la not_o stretch_v they_o till_o he_o have_v press_v gentle_o the_o hypogastrium_n with_o the_o other_o hand_n than_o the_o operator_n endeavour_v to_o push_v the_o bottom_n of_o the_o bladder_n towards_o its_o neck_n to_o place_v it_o fast_o between_o his_o finger_n and_o the_o os_fw-la pubis_fw-la have_v fix_v it_o the_o chirurgeon_n with_o a_o bistory_n cut_v on_o both_o side_n make_v a_o incision_n on_o the_o stone_n according_a to_o its_o bigness_n make_v the_o place_n where_o the_o incision_n must_v be_v make_v on_o the_o side_n of_o the_o ralph_n and_o between_o the_o os_fw-la pubis_fw-la about_o two_o finger_n breadth_n from_o the_o anus_fw-la the_o incision_n be_v make_v you_o extract_v it_o with_o fit_a instrument_n of_o which_o ☞_o we_o will_v speak_v in_o the_o great_a aparatus_fw-la sometime_o it_o will_v slip_v out_o of_o the_o orifice_n by_o only_o press_v the_o finger_n a_o little_a forward_o towards_o the_o orifice_n so_o much_o for_o the_o lesser_a aparatus_fw-la for_o see_v we_o can_v use_v it_o without_o make_v the_o intestine_a and_o bladder_n very_o livid_v nor_o often_o without_o endamage_v they_o we_o ought_v to_o reject_v this_o method_n and_o prefer_v the_o great_a aparatus_fw-la of_o which_o we_o will_v give_v the_o description_n aparatus_fw-la the_o manner_n of_o cut_v for_o the_o stone_n by_o the_o great_a aparatus_fw-la after_o we_o have_v regulate_v all_o that_o precede_v this_o so_o important_a a_o operation_n and_o have_v place_v the_o patient_n in_o a_o convenient_a posture_n the_o first_o thing_n we_o must_v propose_v to_o ourselves_o be_v to_o search_v he_o well_o catheter_n several_a way_n of_o use_v the_o catheter_n as_o for_o probes_fw-la you_o ought_v to_o have_v some_o great_a small_a and_o middle-sized_a one_o for_o all_o sort_n of_o age_n strait_a and_o crooked_a for_o both_o sex_n with_o canulas_fw-la garnish_v with_o a_o stillett_n to_o empty_a the_o bladder_n of_o the_o urine_n and_o other_o hollow_a as_o a_o directory_n to_o perform_v the_o operation_n with_o you_o may_v use_v the_o prob●…or_n catheter_n divers_a way_n in_o the_o first_o the_o chirurgeon_n take_v with_o his_o left_a hand_n the_o top_n of_o the_o yard_n dilate_v its_o passage_n a_o little_a and_o pull_v it_o upward_o that_o the_o channel_n of_o the_o urethra_fw-la make_v a_o strait_a line_n to_o facilitate_v by_o that_o mean_v the_o entry_n of_o the_o catheter_n into_o the_o bladder_n all_o the_o difficulty_n consist_v in_o introduce_v it_o methodical_o which_o be_v that_o the_o extremity_n which_o be_v hold_v in_o the_o hand_n be_v outward_a and_o the_o convexity_n inward_a and_o as_o its_o point_n approach_v towards_o the_o neck_n of_o the_o bladder_n you_o give_v it_o half_o a_o turn_n by_o which_o mean_v you_o make_v it_o slip_v under_o the_o os_fw-la pubis_fw-la and_o cause_v it_o to_o enter_v into_o the_o hollow_a of_o the_o bladder_n so_o that_o its_o point_n be_v within_o and_o its_o convexity_n without_o probe_v second_o way_n of_o probe_v the_o second_o method_n be_v much_o more_o easy_a and_o less_o troublesome_a because_o you_o introduce_v the_o probe_n quite_o contrary_a to_o the_o former_a and_o without_o give_v it_o a_o turn_n you_o make_v it_o slip_v into_o the_o bladder_n good_a probe_v be_v not_o only_o necessary_a for_o extract_v the_o stone_n but_o also_o in_o all_o carnosity_n and_o inflammation_n of_o the_o bladder_n it_o be_v of_o great_a use_n as_o often_o as_o the_o urine_n be_v suppress_v in_o this_o passage_n and_o very_o often_o one_o perish_v in_o all_o those_o occasion_n for_o not_o know_v how_o to_o probe_n well_o methodical_o how_o to_o perform_v the_o operation_n methodical_o to_o make_v the_o operation_n you_o use_v a_o hollow_a probe_n which_o be_v in_o the_o bladder_n the_o chirurgeon_n must_v bring_v it_o to_o the_o side_n of_o the_o belly_n that_o its_o convexity_n may_v press_v the_o interior_a surface_n of_o the_o perineum_fw-la and_o make_v it_o rise_v in_o a_o hillock_n and_o whilst_o the_o servant_n hold_v up_o the_o yard_n and_o top_n of_o the_o probe_n with_o his_o left_a hand_n and_o the_o testicle_n with_o his_o right_n the_o operator_n with_o his_o thumb_n and_o forefinger_n fasten_v the_o most_o eminent_a part_n of_o the_o probe_n to_o the_o right_a side_n of_o the_o perineum_fw-la and_o with_o a_o knife_n cut_v on_o both_o side_n he_o make_v a_o incision_n all_o along_o the_o hollow_a more_o or_o less_o great_a according_a as_o he_o judge_v the_o bulk_n of_o the_o stone_n to_o be_v to_o make_v the_o incision_n regular_o he_o hold_v the_o instrument_n like_o a_o lancet_n begin_v to_o pierce_v the_o most_o elevate_a part_n of_o the_o perineum_fw-la still_o to_o the_o hollow_a of_o the_o probe_n which_o serve_v to_o the_o knife_n as_o a_o directory_n and_o without_o any_o stop_n pass_v and_o repass_v it_o several_a time_n over_o the_o surface_n of_o the_o probe_n till_o it_o be_v quite_o discover_v lest_o you_o make_v divers_a incision_n on_o the_o bladder_n before_o you_o withdraw_v the_o catheter_n feel_v