one_o part_n of_o it_o be_v before_o and_o the_o rest_n hang_v behind_o 3._o a_o budget_n to_o put_v in_o separat_o the_o straight_a forcipes_fw-la in_o the_o one_o side_n and_o the_o crooked_a with_o the_o hook_n in_o the_o other_o in_o the_o bottom_n the_o dilatatory_n the_o button_n and_o the_o conductor_n be_v hide_v it_o may_v be_v shut_v lift_v up_o the_o side_n of_o it_o where_o there_o be_v button-hole_n into_o which_o be_v put_v the_o button_n that_o be_v fasten_v to_o the_o place_n mark_v c._n d._n near_o the_o string_n a_o table_n whereon_o the_o porringer_n with_o oil_n be_v set_v and_o the_o mount_v bistoris_n lay_v under_o which_o a_o piece_n of_o linen-cloth_n fold_v with_o many_o plait_n be_v put_v cross-way_n that_o their_o point_n may_v not_o touch_v any_o thing_n it_o be_v fit_a that_o several_a bistory_n shall_v be_v mount_v though_o there_o be_v but_o one_o operation_n to_o be_v make_v because_o the_o edge_n or_o the_o point_n be_v sometime_o blunt_v and_o it_o be_v necessary_a to_o have_v some_o rag_n of_o linen-cloth_n and_o napkin_n in_o readiness_n all_o the_o instrument_n may_v be_v make_v of_o steel_n or_o iron_n nevertheless_o the_o catheter_n conductor_n button_n and_o tent_n be_v neat_a when_o they_o be_v of_o silver_n and_o less_o subject_a to_o rust_v of_o each_o kind_n there_o ought_v to_o be_v several_a size_n and_o those_o well_o polish_a it_o be_v not_o enough_o to_o have_v speak_v of_o the_o instrument_n of_o chirurgie_n we_o must_v likewise_o according_a to_o the_o rule_n of_o good_a method_n take_v into_o consideration_n what_o thing_n be_v necessary_a before_o in_o the_o time_n and_o after_o the_o operation_n before_o the_o operation_n the_o patient_n ought_v to_o be_v prepare_v for_o some_o day_n by_o a_o diet_n blood-letting_a glister_v purge_n reiterated_a more_o or_o less_o according_a to_o the_o advice_n of_o a_o skilful_a physician_n and_o the_o night_n before_o the_o operation_n the_o patient_n must_v take_v a_o laxative_a or_o else_o a_o astringent_a glyster_n according_a as_o need_v shall_v require_v he_o must_v have_v a_o day_n time_n at_o least_o to_o rest_v in_o after_o he_o have_v take_v physic_n and_o spiritual_a remidy_n be_v not_o to_o be_v omit_v at_o the_o time_n of_o cut_v the_o operator_n must_v choose_v four_o faithful_a servant_n at_o least_o a_o chamber_n indifferent_o warm_a and_o in_o a_o good_a air_n where_o the_o light_n of_o day_n may_v suffice_v he_o must_v have_v a_o apron_n and_o sleeve_n and_o under_o the_o table_n a_o tub_n of_o warm_a water_n to_o wash_v the_o instrument_n upon_o the_o table_n there_o must_v be_v salad-oyl_n or_o oil_n of_o rose_n and_o there_o he_o be_v to_o lay_v his_o instrument_n in_o order_n for_o the_o operation_n all_o these_o thing_n be_v call_v the_o preparative_n apparel_n for_o the_o operation_n the_o bandage_n and_o medicine_n that_o be_v make_v use_n of_o to_o dress_v the_o patient_n that_o be_v cut_v be_v call_v the_o preparative_n for_o the_o dress_n which_o ought_v to_o be_v in_o readiness_n because_o they_o be_v use_v immediate_o after_o the_o operation_n the_o medicine_n both_o powder_n and_o ointment_n ought_v to_o be_v astringent_a warm_a oxycrat_n and_o oxyrodinum_fw-la the_o bandage_n as_o well_o for_o man_n as_o woman_n be_v 1._o the_o ligature_n or_o colier_n which_o be_v a_o great_a band_n for_o blood-letting_a when_o the_o two_o end_n of_o it_o be_v tie_v together_o it_o be_v of_o a_o oval_a figure_n which_o be_v put_v over_o the_o head_n and_o come_v down_o as_o far_o as_o the_o navel_n this_o band_n may_v be_v put_v about_o the_o patient_n before_o the_o operation_n 2._o a_o bolster_n or_o compress_v of_o a_o moderate_a thickness_n three_o or_o four_o finger_n broad_a to_o put_v upon_o the_o wound_n when_o the_o operation_n be_v do_v and_o when_o the_o patient_n be_v to_o be_v carry_v to_o bed_n it_o ought_v to_o be_v lay_v upon_o the_o table_n with_o the_o bistory_n and_o the_o catheter_n 3._o a_o astringent_a plaster_n of_o a_o sufficient_a bigness_n to_o cover_v the_o belly_n 4._o a_o ventriere_n or_o belly-clout_n which_o be_v a_o great_a bolster_n or_o compress_v to_o cover_v the_o belly_n it_o be_v to_o be_v dip_v in_o warm_a oxycrat_fw-mi 5._o the_o froude_n or_o bandage_n or_o truss_n with_o four_o head_n a._n the_o head_n which_o may_v be_v call_v twin_n because_o they_o begin_v in_o the_o same_o place_n and_o be_v destine_v for_o one_o and_o the_o same_o use_n 6._o the_o truss_n or_o double_v t._n or_o second_o truss_n b._n b._n the_o girdle_n of_o the_o truss_n c._n c._n the_o tail_n or_o strap_n of_o the_o truss_n 7._o a_o pledget_n plumacean_n cover_v with_o astringent_a 8._o astringent-plaster_n of_o several_a size_n 9_o a_o plaster_n long_o than_o broad_a to_o be_v put_v some_o day_n after_o the_o operation_n upon_o the_o pledget_n instead_o of_o the_o former_a plaster_n this_o plaster_n ought_v to_o be_v somewhat_o long_o than_o the_o wound_n 10._o a_o small_a square_a bolster_n or_o compress_v indifferent_o thick_a and_o somewhat_o large_a than_o the_o plaster_n above_o describe_v 11._o another_o double_a compress_v a_o inch_n broad_a and_o a_o foot_n long_o for_o male_n call_v a_o truss_n these_o two_o bolster_n be_v to_o be_v moisten_v in_o war_n m_o oxycrat_n 12._o a_o ligature_n or_o farettiere_n which_o be_v a_o long_a band_n to_o be_v swath_v about_o the_o thigh_n that_o the_o patient_n may_v keep_v they_o within_o a_o moderate_a nearness_n to_o one_o another_o 13._o a_o bed_n cover_v with_o a_o rowling-sheet_n or_o a_o sheet_n double_v into_o many_o fold_n and_o lay_v across_o the_o bed_n in_o the_o place_n where_o the_o kidney_n and_o thigh_n of_o he_o that_o be_v cut_v do_v rest_n there_o be_v need_n of_o several_a sheet_n or_o alaise_n to_o shift_v and_o make_v it_o dry_v when_o it_o be_v wet_a it_o be_v to_o be_v warm_v with_o a_o warming-pan_n if_o it_o be_v needful_a it_o be_v requisite_a also_o to_o have_v a_o good_a many_o napkin_n in_o readiness_n to_o put_v under_o the_o patient_n when_o he_o have_v a_o looseness_n that_o he_o may_v be_v the_o soon_o lay_v dry_a and_o sometime_o beside_o that_o sheet_n a_o serecloath_n or_o thin_a blanket_n be_v put_v betwxit_fw-la the_o sheet_n &_o the_o quilt_n to_o preserve_v it_o from_o spoil_v and_o rot_v by_o the_o urine_n but_o a_o serecloath_n make_v the_o bed_n too_o hard_o and_o be_v not_o good_a but_o when_o there_o be_v a_o want_n of_o sheet_n or_o a_o quilt_n to_o shift_v the_o patient_n it_o be_v not_o to_o be_v forget_v that_o a_o cord_n must_v be_v fasten_v to_o the_o top_n of_o the_o bed_n or_o some_o other_o place_n to_o help_v the_o patient_n to_o raise_v himself_o there_o be_v some_o operator_n that_o hide_v their_o instrument_n in_o their_o pocket_n or_o put_v the_o catheter_n in_o their_o button-holes_n before_o they_o anoint_v they_o with_o oil_n other_o lay_v they_o in_o a_o dish_n nevertheless_o see_v it_o make_v a_o noise_n when_o the_o operator_n take_v they_o up_o to_o operate_v with_o it_o seem_v more_o commodious_a to_o have_v they_o in_o a_o pouch_n or_o budget_n chap._n xii_o of_o the_o posture_n and_o situation_n into_o which_o child_n be_v to_o be_v put_v when_o they_o be_v to_o be_v cut._n all_o thing_n be_v prepare_v the_o catheter_n put_v into_o oil_n the_o bistoris_n and_o tent_n mount_v and_o lay_v upon_o the_o table_n the_o tub_n with_o warm_a water_n underneath_o it_o the_o straight_a and_o crooked_a forcipes_fw-la with_o the_o hook_n place_v in_o order_n in_o the_o before_o part_n of_o the_o budget_n a_o conductor_n the_o button_n and_o scoop_v and_o a_o dilatatory_n if_o it_o be_v think_v necessary_a in_o the_o bottom_n of_o the_o pouch_n or_o budget_n the_o patient_n be_v send_v for_o bring_v to_o the_o place_n of_o operation_n and_o set_v upon_o the_o chair_n stand_v a_o little_a oblique_o that_o the_o light_n from_o the_o window_n may_v dart_v upon_o the_o right_a side_n of_o the_o operator_n who_o be_v to_o keep_v his_o instrument_n from_o the_o sight_n of_o the_o patient_n if_o it_o be_v a_o child_n of_o four_o five_o seven_o ten_o or_o twelve_o year_n of_o age_n two_o servant_n may_v hold_v he_o by_o the_o hand_n and_o foot_n on_o each_o side_n whilst_o another_o get_n up_o upon_o something_o behind_o the_o chair_n and_o look_v forward_o may_v commodious_o lean_v upon_o the_o patient_n shoulder_n place_v the_o thumb_n of_o both_o hand_n towards_o his_o back_n and_o the_o other_o finger_n upon_o the_o clavicle_n for_o the_o sure_a hold_n the_o servant_n who_o be_v on_o the_o right_a side_n of_o the_o patient_n aught_o to_o put_v his_o left_a hand_n betwixt_o the_o patient_n thigh_n and_o take_v fast_o hold_v on_o his_o right_a hand_n wrist_n and_o that_o the_o child_n
therein_o the_o gorgeret_n which_o ought_v to_o be_v hide_v in_o his_o right_a hand_n so_o that_o the_o right_a forefinger_n cover_v the_o length_n of_o it_o suffer_v nothing_o almost_o to_o appear_v but_o the_o bill_n so_o soon_o as_o the_o bill_n be_v in_o the_o furrow_n he_o take_v the_o catheter_n by_o the_o ring_n in_o the_o left_a hand_n as_o be_v here_o represent_v page_n 100_o and_o now_o there_o be_v great_a care_n to_o be_v take_v in_o introduce_v the_o gorgeret_n into_o the_o bladder_n for_o if_o the_o patient_a push_n hard_o he_o may_v make_v the_o catheter_n to_o come_v out_o and_o then_o bad_a accident_n happen_v for_o if_o one_o thrust_v forward_o the_o gorgeret_n and_o then_o the_o forceps_n when_o they_o be_v not_o in_o the_o bladder_n a_o space_n be_v make_v betwixt_o the_o urethra_n and_o the_o rectum_fw-la to_o avoid_v mistake_v the_o operator_n ought_v to_o have_v a_o attentive_a mind_n and_o not_o talk_v and_o then_o have_v pass_v the_o bill_n of_o the_o conductor_n call_v the_o gorgeret_n into_o the_o furrow_n of_o the_o catheter_n he_o be_v to_o hold_v they_o fast_o keep_v the_o bill_n always_o in_o and_o as_o if_o one_o intend_v by_o guide_v and_o make_v it_o slide_v along_o and_o under_o the_o furrow_n to_o thrust_v the_o bill_n upward_o by_o this_o mean_v one_o be_v sure_a to_o introduce_v it_o into_o the_o bladder_n and_o hold_v it_o with_o his_o right_a hand_n the_o catheter_n must_v be_v disengage_v from_o the_o gorgeret_fw-la by_o turn_v it_o with_o the_o left_a and_o then_o soft_o and_o easy_o draw_v out_o of_o the_o yard_n a_o certain_a sign_n that_o the_o gorgeret_n be_v in_o the_o bladder_n be_v the_o emission_n of_o urine_n along_o the_o conductor_n that_o be_v if_o there_o be_v any_o in_o the_o bladder_n when_o the_o gorgeret_n be_v in_o the_o bladder_n and_o the_o catheter_n draw_v out_o it_o be_v take_v hold_v of_o with_o the_o left_a hand_n and_o a_o convenient_a forceps_fw-la with_o the_o right_n which_o be_v to_o be_v thrust_v upon_o and_o along_o the_o same_o gorgeret_n in_o this_o manner_n page_n 103_o the_o button_n be_v blunt_a hurt_v not_o the_o part_n in_o pass_v and_o when_o it_o be_v in_o the_o bladder_n which_o may_v be_v know_v because_o than_o it_o may_v be_v easy_o turn_v every_o way_n the_o stone_n be_v soft_o to_o be_v search_v for_o by_o gentle_o jog_v and_o move_v the_o instrument_n which_o be_v feel_v the_o chirurgeon_n be_v to_o take_v the_o button_n in_o the_o left_a hand_n conduct_v with_o the_o right_a the_o forceps_fw-la close_o upon_o the_o button_n into_o the_o bladder_n this_o be_v the_o figure_n of_o it_o if_o it_o be_v a_o crooked_a forceps_fw-la whilst_o it_o be_v introduce_v the_o bill_n be_v turn_v towards_o the_o yard_n the_o ring_n be_v more_o to_o be_v raise_v as_o may_v be_v observe_v in_o this_o last_o figure_n in_o a_o manner_n different_a from_o the_o former_a figure_n page_n 92._o which_o represent_v the_o straight_a forceps_n conduct_v upon_o the_o gorgeret_n with_o the_o right_a hand_n bend_v low_a upon_o the_o left_a the_o crooked_a forceps_fw-la be_v make_v use_n of_o when_o the_o stone_n be_v think_v to_o be_v very_o near_o to_o the_o groin_n but_o most_o common_o the_o straight_a forcipes_fw-la be_v sufficient_a and_o both_o the_o one_o and_o the_o other_o aught_o to_o be_v lay_v upon_o the_o line_n of_o the_o button_n so_o that_o it_o touch_v on_o both_o side_n page_n 104_o it_o be_v to_o be_v observe_v that_o as_o often_o as_o one_o will_v change_v a_o forceps_n or_o introduce_v it_o there_o be_v a_o necessity_n of_o make_v use_n of_o the_o button_n except_o immediate_o after_o the_o incision_n be_v make_v when_o the_o conductor_n be_v introduce_v on_o which_o the_o forceps_fw-la be_v thrust_v forward_o remember_v that_o after_o the_o incision_n be_v make_v and_o the_o conductor_n introduce_v into_o the_o furrow_n when_o one_o will_v disengage_v the_o catheter_n or_o that_o it_o be_v out_o of_o the_o yard_n the_o patient_n sometime_o struggle_v before_o the_o conductor_n be_v in_o the_o bladder_n or_o other_o way_n when_o the_o urethra_n have_v not_o be_v cut_v enough_o towards_o the_o bladder_n or_o that_o the_o bill_n of_o the_o conductor_n be_v not_o dextrous_o thrust_v into_o the_o slit_v or_o furrow_n instead_o of_o enter_v into_o the_o bladder_n a_o space_n be_v make_v betwixt_o it_o and_o the_o rectum_fw-la then_o must_v the_o conductor_n be_v draw_v back_o and_o if_o afterward_o one_o can_v introduce_v the_o button_n it_o will_v be_v necessary_a to_o take_v the_o same_o furrow_a catheter_n or_o one_o somewhat_o small_a and_o less_o furrow_a for_o better_a pass_v it_o into_o the_o bladder_n make_v use_n of_o the_o second_o way_n of_o search_a man_n describe_v in_o the_o nine_o chap._n by_o that_o mean_v the_o catheter_n be_v gentle_o introduce_v into_o the_o urethra_n without_o turn_v of_o it_o any_o way_n lest_o it_o shall_v come_v out_o at_o the_o incision_n and_o when_o it_o be_v pass_v into_o the_o bladder_n the_o furrow_n be_v to_o be_v search_v by_o the_o wound_n with_o the_o bill_n of_o the_o gorgeret_n that_o so_o the_o operation_n may_v be_v continue_v page_n 106_o there_o be_v as_o little_a use_n of_o this_o make_v as_o can_v convenient_o be_v nevertheless_o if_o necessity_n require_v it_o be_v use_v after_o which_o it_o be_v pull_v out_o and_o without_o part_v from_o the_o gorgeret_fw-la the_o operator_n take_v a_o close_a forceps_fw-la conduct_v it_o into_o the_o bladder_n to_o search_v for_o the_o stone_n where_o it_o must_v be_v gentle_o turn_v and_o jog_v every_o way_n as_o have_v be_v say_v it_o be_v to_o be_v mind_v also_o that_o it_o have_v be_v say_v that_o so_o soon_o as_o the_o forceps_fw-la be_v in_o the_o bladder_n it_o may_v be_v moderate_o open_v with_o both_o hand_n to_o dilate_v the_o passage_n a_o little_a and_o at_o the_o same_o time_n to_o bring_v the_o ring_n almost_o together_o and_o afterward_o with_o one_o hand_n it_o may_v be_v thrust_v and_o move_v gentle_o to_o the_o right_n and_o left_a up_o and_o down_o where_o the_o sphincter_n of_o the_o rectum_fw-la be_v to_o feel_v the_o stone_n sometime_o turn_v the_o forceps_n so_o that_o one_o of_o its_o ring_n be_v high_a than_o the_o other_o thereby_o endeavour_v to_o lay_v hold_n of_o the_o stone_n which_o may_v be_v flat_a or_o lie_v hide_v at_o one_o side_n of_o the_o bladder_n when_o it_o be_v find_v the_o forceps_fw-la be_v to_o be_v open_v with_o both_o hand_n to_o gripe_v what_o have_v be_v feel_v the_o operator_n be_v sometime_o so_o fortunate_a as_o to_o take_v good_a hold_n of_o the_o stone_n in_o a_o small_a time_n which_o be_v to_o be_v know_v because_o after_o that_o the_o forceps_fw-la have_v be_v open_v the_o ring_n can_v be_v make_v to_o meet_v again_o and_o some_o hard_a matter_n be_v to_o be_v feel_v betwixt_o the_o tooth_n this_o be_v the_o sure_a sign_n for_o very_o small_a stone_n may_v be_v take_v hold_v of_o about_o the_o middle_n of_o the_o forcipes_fw-la where_o they_o be_v more_o bend_v than_o else_o where_o which_o will_v not_o hinder_v but_o that_o the_o ring_n may_v be_v bring_v to_o meet_v but_o still_o some_o hardness_n be_v to_o be_v feel_v this_o have_v happen_v to_o i_o and_o it_o be_v think_v that_o there_o have_v be_v nothing_o but_o i_o feel_v that_o hardness_n in_o the_o forceps_fw-la and_o i_o have_v the_o stone_n of_o that_o operation_n still_o by_o i_o when_o the_o stone_n be_v lay_v hold_n of_o one_o must_v not_o at_o first_o pull_v towards_o he_o but_o it_o be_v requisite_a to_o turn_v gentle_o the_o forceps_n to_o the_o right_n and_o left_a hold_v it_o with_o one_o or_o both_o hand_n according_a to_o the_o convenience_n of_o the_o operator_n that_o so_o he_o may_v know_v if_o the_o stone_n lie_v right_a in_o the_o tooth_n and_o disentangle_v it_o from_o among_o the_o plicature_n pull_v to_o he_o afterward_o without_o violence_n the_o ring_n of_o the_o forceps_n be_v to_o be_v raise_v and_o low'rd_v alternat_o to_o make_v the_o stone_n slide_v with_o great_a ease_n if_o one_o have_v make_v use_n of_o a_o crooked_a forceps_fw-la the_o bill_n of_o it_o must_v have_v be_v turn_v towards_o the_o pubis_fw-la just_a at_o the_o passage_n of_o bring_v it_o out_o and_o the_o ring_n be_v very_o near_o the_o yard_n that_o one_o may_v not_o be_v mistake_v it_o will_v be_v necessary_a to_o put_v a_o mark_n upon_o one_o of_o the_o ring_n of_o the_o forceps_fw-la when_o the_o stone_n be_v in_o the_o forceps_fw-la special_a care_n be_v to_o be_v have_v not_o to_o turn_v it_o quite_o round_o because_o if_o the_o stone_n be_v big_a or_o uneven_a it_o will_v much_o confuse_v the_o part_n of_o the_o bladder_n if_o the_o stone_n be_v soft_a it_o
be_v not_o hurt_v the_o sleeve_n of_o his_o shirt_n may_v be_v pull_v down_o to_o cover_v his_o hand_n after_o that_o the_o same_o servant_n with_o his_o right-hand_n shall_v lay_v hold_n of_o the_o leg_n on_o the_o same_o side_n by_o the_o foot_n and_o ankle_n the_o servant_n on_o the_o patient_n lefthand_n shall_v do_v the_o same_o taking_z hold_v of_o the_o left-arme_a with_o the_o right-hand_n and_o with_o the_o lefthand_n of_o the_o left-leg_n near_o to_o the_o foot_n in_o this_o posture_n the_o child_n hand_n must_v almost_o touch_v his_o heel_n and_o if_o he_o but_o any_o way_n hold_v fast_o his_o thigh_n spread_v the_o lithotomist_n have_v room_n to_o operate_v and_o because_o child_n do_v extreme_o struggle_v and_o strive_v two_o other_o servant_n may_v likewise_o keep_v their_o knee_n a_o sunder_o but_o it_o be_v chief_o to_o be_v observe_v in_o this_o posture_n that_o the_o patient_a lean_a half_a backward_o according_a to_o the_o shape_n of_o the_o chair_n or_o for_o want_n of_o that_o near_o the_o bed_n side_n or_o the_o table_n cover_v with_o a_o quilt_n or_o matteress_n so_o that_o his_o fundament_n may_v be_v see_v and_o that_o his_o foot_n do_v not_o rest_v upon_o any_o thing_n so_o that_o he_o have_v less_o force_n to_o stir_v or_o move_v himself_o hear_v be_v the_o figure_n of_o it_o there_o be_v some_o operator_n who_o choose_v a_o strong_a man_n and_o make_v he_o sit_v upon_o a_o pretty_a high_a common_a chair_n or_o upon_o the_o end_n of_o a_o bench_n who_o have_v a_o cushion_n against_o his_o belly_n and_o a_o sheet_n over_o it_o take_v the_o child_n who_o be_v to_o be_v cut_v upon_o his_o knee_n join_v together_o the_o man_n have_v his_o knee_n close_o put_v his_o hand_n betwixt_o the_o child_n leg_n and_o so_o take_v hold_v of_o his_o two_o wrist_n by_o this_o mean_v the_o child_n be_v put_v into_o a_o convenient_a posture_n to_o be_v cut_v take_v here_o the_o figure_n of_o it_o beside_o the_o man_n that_o hold_v it_o be_v requisite_a that_o some_o other_o person_n lean_a upon_o the_o child_n shoulder_n open_v his_o knee_n and_o keep_v his_o foot_n steady_a page_n 70_o page_n 70_o nevertheless_o see_v the_o operation_n be_v sometime_o laborious_a and_o that_o the_o man_n who_o hold_v may_v be_v weary_a it_o be_v better_a to_o make_v use_n of_o the_o first_o way_n chap._n xiii_o of_o the_o different_a way_n of_o extract_v the_o stone_n according_a to_o the_o custom_n of_o the_o egyptian_n the_o practice_n of_o the_o high_a operation_n sometime_o the_o chirurgeon_n can_v introduce_v the_o furrow_a catheter_n because_o of_o pain_n or_o inflammation_n occasion_v by_o too_o frequent_a search_v before_o or_o because_o there_o may_v be_v fear_n of_o put_v the_o patient_n to_o too_o much_o pain_n or_o that_o there_o may_v be_v a_o carnositie_n or_o callositie_n in_o the_o part_n or_o because_o the_o stone_n be_v in_o the_o perineum_fw-la or_o in_o the_o neek_z of_o the_o bladder_n these_o different_a disposition_n oblige_v the_o operator_n to_o consider_v how_o and_o in_o what_o manner_n the_o operation_n be_v to_o be_v perform_v the_o first_o which_o be_v not_o in_o use_n be_v call_v the_o high_a operation_n the_o second_o and_o three_o be_v daily_o practise_v and_o be_v call_v the_o lesser_a and_o the_o great_a operation_n we_o pretend_v not_o to_o comprehend_v the_o two_o method_n mentiond_v by_o prosper_n alpinus_n in_o the_o fourteen_o chapter_n of_o his_o 3d._a book_n of_o the_o medicine_n of_o the_o egyptian_n where_o he_o relate_v their_o practice_n of_o extract_v the_o stone_n of_o the_o bladder_n without_o make_v incision_n but_o only_o by_o dilatation_n of_o the_o vrethra_n by_o blow_v into_o the_o yard_n when_o i_o live_v in_o egypt_n say_v he_o a_o certain_a arabian_a name_v haly_n in_o great_a reputation_n for_o extract_a stone_n without_o incision_n take_v out_o several_a in_o my_o presence_n from_o horam_n bey_n a_o turkish_a commander_n in_o this_o manner_n he_o set_v about_o it_o he_o make_v use_v of_o a_o wooden_a pipe_n eight_o finger_n long_o and_o about_o the_o thickness_n of_o one_o thumb_n have_v apply_v this_o to_o the_o passage_n of_o the_o yard_n he_o blow_v into_o it_o with_o great_a force_n at_o the_o same_o time_n with_o the_o other_o hand_n he_o press_v the_o extremity_n of_o the_o privy_a part_n towards_o the_o perineum_fw-la to_o hinder_v the_o wind_n from_o enter_v into_o the_o bladder_n then_o he_o stop_v the_o mouth_n of_o the_o pipe_n to_o make_v the_o vrethra_n swell_v and_o stretch_v this_o be_v do_v a_o servant_n put_v his_o finger_n into_o the_o anus_fw-la and_o bring_v the_o stone_n by_o little_a and_o little_a towards_o the_o neck_n of_o the_o bladder_n and_o the_o beginning_n of_o the_o vrethra_n and_o then_o the_o operator_n perceive_v that_o the_o stone_n be_v near_o the_o perineum_fw-la he_o sudden_o and_o with_o force_n draw_v back_o the_o pipe_n from_o the_o passage_n of_o the_o yard_n and_o so_o dextrous_o extract_v the_o stone_n which_o be_v about_o the_o bigness_n of_o a_o olive-stone_n i_o be_v present_a at_o this_o operation_n which_o he_o perform_v upon_o that_o turkish_a commander_n and_o afterward_o i_o see_v he_o practise_v it_o upon_o two_o jew_n one_o of_o which_o be_v a_o little_a boy_n from_o who_o he_o take_v 8_o small_a stone_n and_o the_o other_o be_v grow_v up_o from_o who_o he_o take_v one_o as_o big_a as_o a_o olive_n this_o arabian_a make_v use_v of_o the_o same_o method_n to_o draw_v stone_n out_o of_o the_o bladder_n in_o the_o same_o chapter_n he_o speak_v of_o a_o letter_n write_v to_o he_o by_o octavius_n poveretus_n a_o most_o learned_a physician_n in_o egypt_n for_o the_o commonwealth_n of_o venice_n some_o month_n ago_o say_v he_o a_o arabian_a of_o sidon_n a_o christian_a extract_v a_o stone_n without_o incision_n from_o another_o christian_a name_v cophtus_fw-la and_o it_o be_v do_v in_o this_o manner_n the_o arabian_a have_v many_o pipe_n of_o different_a size_n much_o of_o the_o shape_n of_o flute_n or_o pipe_n which_o be_v musical_a instrument_n they_o be_v make_v of_o a_o cartiliginous_a matter_n which_o will_v easy_o stretch_v he_o introduce_v the_o small_a into_o the_o vrethra_n and_o thrust_v it_o forward_o as_o far_o as_o the_o bladder_n immediate_o thereupon_o he_o blow_v in_o it_o with_o all_o his_o strength_n to_o make_v it_o swell_v then_o he_o pull_v out_o that_o pipe_n and_o put_v in_o a_o big_a blow_v in_o it_o after_o the_o same_o manner_n and_o so_o continue_v charge_v the_o pipe_n until_o he_o put_v in_o the_o four_o which_o be_v the_o big_a and_o when_o he_o think_v by_o this_o mean_n that_o he_o have_v dilate_v the_o passage_n sufficient_o to_o make_v way_n for_o the_o stone_n he_o place_v the_o patient_n in_o a_o convenient_a posture_n and_o put_v one_o finger_n into_o the_o anus_fw-la to_o bring_v it_o towards_o the_o neck_n of_o the_o bladder_n where_o the_o end_n of_o that_o great_a pipe_n be_v into_o which_o he_o endeavour_v to_o make_v the_o stone_n enter_v this_o be_v do_v he_o put_v his_o mouth_n to_o the_o other_o end_n of_o the_o pipe_n and_o suck_v with_o all_o his_o strength_n he_o do_v what_o he_o can_v to_o draw_v the_o stone_n towards_o he_o which_o break_v often_o when_o it_o be_v too_o big_a as_o it_o happen_v to_o this_o man_n name_v cophtus_fw-la for_o he_o fetch_v from_o he_o but_o a_o part_n of_o it_o and_o the_o rest_n be_v a_o big_a and_o large_a fragment_n can_v not_o be_v get_v out_o this_o way_n say_v kovoretus_n be_v easy_a to_o be_v learn_v and_o perhaps_o a_o skilful_a chirurgeon_n may_v have_v better_a success_n in_o the_o practice_n of_o it_o which_o be_v a_o thing_n to_o be_v desire_v by_o those_o who_o be_v trouble_v with_o the_o stone_n beverovicius_n make_v mention_n of_o those_o two_o way_n take_v from_o prosper_n alpinus_n but_o it_o be_v more_o pertinent_a in_o this_o place_n without_o examine_v the_o circumstance_n of_o those_o two_o way_n to_o give_v the_o description_n of_o those_o which_o be_v call_v the_o high_a the_o great_a and_o lesser_a operation_n de_fw-fr franco_n be_v the_o first_o that_o practise_v the_o high_a operation_n which_o be_v so_o call_v because_o it_o be_v perform_v in_o the_o hypogastre_n and_o though_o he_o do_v not_o advise_v the_o do_v of_o it_o yet_o if_o there_o be_v a_o necessity_n for_o it_o it_o do_v not_o seem_v impracticable_a in_o this_o manner_n let_v the_o patient_n be_v lay_v and_o hold_v fast_o upon_o a_o matteress_n or_o quilt_n then_o let_v a_o servant_n thrust_v his_o forefinger_n and_o middle_a finger_n one_o after_o another_o into_o the_o rectum_fw-la to_o make_v the_o stone_n rise_v as_o high_a as_o one_o can_n at_o the_o same_o time_n the_o operator_n be_v to_o make_v incision_n gentle_o above_o
the_o groin_n and_o on_o the_o side_n of_o the_o linea-alba_a the_o white_a line_n the_o bottom_n of_o the_o bladder_n may_v without_o doubt_n be_v open_v withoutuhrt_v the_o part_n of_o the_o low_a belly_n because_o it_o be_v situate_v between_o the_o duplicature_n of_o the_o peritoneum_fw-la and_o the_o full_a that_o it_o be_v of_o urine_n the_o more_o apparent_a it_o will_v be_v by_o mean_n of_o the_o urine_n the_o simple_a dilatatory_n may_v be_v conduct_v and_o then_o the_o button_n which_o after_o the_o dilatory_a be_v take_v out_o may_v serve_v for_o a_o conductor_n to_o the_o forceps_fw-la mr._n jonnot_n tell_v i_o that_o mr._n bonnet_n a_o chirurgeon_n who_o heretofore_o practise_v lithotomie_n in_o the_o hotel_n dieu_n of_o paris_n assure_v he_o that_o he_o have_v cut_v in_o that_o manner_n mr._n petit_fw-fr a_o master_n chirurgeon_n of_o that_o hospital_n tell_v i_o that_o he_o have_v see_v mr._n bonnet_n practice_v it_o upon_o a_o young_a girl_n the_o cure_n be_v to_o be_v perform_v as_o of_o simple_a wound_n in_o the_o lowor_n belly_n or_o otherways_o the_o method_n may_v be_v change_v according_a as_o symptom_n happen_v to_o follow_v experience_n teach_v we_o that_o the_o wound_n of_o the_o bladder_n be_v not_o always_o mortal_a if_o any_o one_o will_v practise_v the_o high_a operation_n it_o will_v be_v necessary_a to_o try_v many_o experiment_n on_o dead_a body_n after_o the_o water_n be_v take_v out_o of_o the_o bladder_n de_fw-fr franco_n in_o the_o same_o place_n chap._n xxxiii_o proposes_n another_o way_n of_o cut_v which_o be_v immediate_o after_o the_o incision_n to_o put_v in_o a_o tent_n unless_o the_o stone_n present_v itself_o at_o first_o and_o some_o day_n after_o when_o the_o pain_n be_v cease_v to_o pull_v out_o the_o stone_n but_o this_o way_n be_v only_o practise_v when_o the_o operation_n be_v laborious_a and_o instead_o of_o a_o tent_n a_o pipe_n be_v make_v use_n of_o chap._n fourteen_o the_o practice_n of_o the_o lesser_a operation_n for_o men._n the_o lesser_a operation_n have_v be_v so_o call_v because_o the_o practice_n thereof_o require_v but_o a_o few_o instument_n it_o be_v invent_v by_o celsus_n and_o describe_v in_o the_o seven_o book_n twenty_o six_o chapter_n as_o it_o be_v heretofore_o practise_v but_o if_o the_o stone_n be_v not_o towards_o the_o neck_n of_o the_o bladder_n and_o that_o it_o be_v feel_v in_o the_o perineum_fw-la near_o to_o and_o under_o the_o scrotum_fw-la the_o manner_n of_o extract_v it_o be_v different_a that_o i_o may_v give_v a_o clear_a notion_n of_o the_o thing_n i_o shall_v here_o observe_v what_o happen_v in_o many_o lithotomy_n in_o the_o year_n one_o thousand_o six_o hundred_o and_o eighty_o in_o the_o hospital_n of_o the_o charity_n of_o paris_n though_o i_o have_v my_o share_n in_o those_o operation_n that_o be_v laborious_a yet_o i_o shall_v only_o mention_v one_o that_o happen_v to_o monsieur_n jonnot_n the_o circumstance_n whereof_o agree_v exact_o with_o other_o operation_n which_o i_o perform_v in_o his_o presence_n this_o relation_n will_v give_v ground_n for_o make_v two_o kind_n of_o lesser_a operation_n for_o man_n there_o be_v bring_v to_o he_o a_o boy_n of_o seven_o year_n of_o age_n that_o have_v be_v cut_v the_o year_n before_o he_o need_v not_o make_v use_n of_o the_o catheter_n to_o assure_v he_o of_o the_o destemper_n for_o with_o two_o finger_n one_o may_v feel_v the_o stone_n towards_o the_o middle_n of_o the_o perineum_fw-la above_o the_o former_a cicatrice_n to_o hold_v it_o fast_o it_o be_v needless_a to_o put_v the_o finger_n into_o the_o anus_fw-la because_o the_o stone_n be_v too_o high_a it_o can_v not_o be_v compress_v as_o be_v usual_o do_v when_o it_o be_v in_o the_o neck_n of_o the_o bladder_n but_o have_v cause_v the_o scrotum_fw-la to_o be_v lift_v up_o and_o the_o skin_n hold_v straight_o mounseur_fw-fr jonnot_n turn_v the_o inside_n of_o the_o left_a hand_n towards_o the_o cod_n he_o press_v the_o tumour_n with_o his_o thumb_n and_o forefinger_n on_o both_o side_n of_o the_o suture_a where_o he_o have_v observe_v the_o stone_n at_o the_o same_o time_n he_o make_v the_o incision_n on_o the_o side_n of_o the_o suture_a upon_o the_o tumour_n and_o have_v open_v a_o passage_n with_o a_o middle_a size_a hook_n he_o extract_v the_o stone_n afterward_o feel_v with_o one_o finger_n that_o there_o be_v other_o still_o remain_v he_o be_v oblige_v to_o keep_v the_o place_n dilate_v with_o the_o same_o finger_n that_o introduce_v the_o hook_n and_o that_o the_o stone_n may_v not_o shift_v its_o place_n he_o hold_v it_o fast_o with_o the_o forefinger_n of_o the_o lefthand_n put_v upon_o the_o upper_a part_n of_o the_o wound_n and_o with_o the_o thumb_n on_o the_o low_a part_n by_o that_o mean_v he_o happy_o finish_v that_o operation_n that_o he_o may_v cut_v the_o same_o patent_n by_o the_o great_a operation_n for_o have_v pull_v out_o all_o the_o small_a stone_n and_o fragment_n that_o be_v in_o the_o perineum_fw-la he_o introduce_v by_o the_o yard_n a_o furrow_a catheter_n wherewith_o he_o find_v another_o stone_n in_o the_o bladder_n and_o upon_o that_o catheter_n he_o continue_v the_o incision_n with_o the_o other_o circumstance_n whereof_o we_o shall_v speak_v in_o the_o great_a operation_n i_o be_v necessitate_v to_o do_v the_o same_o to_o a_o young_a man_n of_o twenty_o two_o year_n of_o age._n i_o remember_v that_o before_o mounseur_fw-fr jonnot_n make_v use_v of_o the_o catheter_n to_o cut_v he_o by_o the_o great_a operation_n be_v introduce_v into_o the_o yard_n a_o great_a straight_a wire_n or_o stilet_n to_o force_v down_o some_o fragment_n that_o stick_v a_o little_a high_o than_o the_o incision_n whilst_o he_o compress_v the_o vrethra_n underneath_o and_o then_o put_v his_o thumb_n below_o the_o wound_n he_o draw_v they_o out_o with_o a_o small_a scoop_v without_o any_o trouble_n page_n 81_o page_n 81_o it_o be_v not_o needful_a to_o make_v the_o patient_n jump_v before_o he_o be_v cut_v by_o the_o lesser_a operation_n if_o he_o be_v a_o little_a boy_n and_o the_o stone_n in_o the_o neck_n of_o the_o bladder_n it_o be_v enough_o after_o that_o he_o be_v put_v into_o a_o posture_n and_o hold_v fast_o by_o the_o servant_n that_o the_o chirurgeon_n dip_v his_o forefinger_n and_o middle-finger_n into_o oil_n the_o nail_n be_v pare_v and_o if_o one_o finger_n be_v not_o suffiicient_a that_o he_o thrust_v they_o one_o after_o another_o into_o the_o fundament_n as_o far_o as_o possible_o he_o can_v that_o they_o may_v reach_v beyond_o the_o stone_n and_o press_v it_o down_o to_o the_o neck_n of_o the_o bladder_n betwixt_o the_o rectum_fw-la and_o the_o os_fw-la pubis_fw-la a_o servant_n in_o the_o mean_a time_n lift_v up_o the_o scrotum_fw-la with_o one_o hand_n and_o with_o the_o other_o arm_v with_o a_o compress_v lean_v upon_o the_o belly_n to_o make_v the_o stone_n come_v down_o then_o the_o chirurgeon_n be_v to_o dry_v the_o perineum_fw-la and_o stretch_v the_o skin_n very_o straight_o with_o his_o other_o finger_n as_o it_o be_v represent_v in_o this_o figure_n the_o tumour_n that_o the_o stone_n cover_v with_o tegument_n make_v render_v the_o incision_n 〈◊〉_d on_o the_o side_n of_o the_o suture_a which_o may_v be_v make_v long_o enough_o for_o extract_v of_o the_o stone_n care_v nevertheless_o must_v be_v have_v to_o avoid_v the_o rectum_fw-la the_o hemmorhoid_n vein_n and_o the_o cod_n one_o must_v not_o fear_v the_o spoil_n of_o the_o edge_n or_o point_n of_o the_o bistori_n for_o every_o time_n that_o it_o be_v to_o be_v use_v of_o new_a it_o must_v be_v set_v again_o so_o soon_o as_o the_o incision_n be_v make_v the_o stone_n appear_v and_o then_o the_o operator_n lay_v aside_o the_o bistori_n and_o take_v the_o hook_n or_o crotchet_n he_o be_v to_o hide_v it_o in_o his_o hand_n as_o much_o as_o he_o can_v the_o end_n of_o its_o handle_n be_v towards_o the_o little_a finger_n and_o the_o forefinger_n cover_v the_o length_n of_o its_o body_n without_o draw_v the_o finger_n out_o of_o the_o rectum_fw-la the_o hook_n be_v to_o be_v slip_v in_o betwixt_o the_o pubis_fw-la and_o the_o stone_n in_o this_o manner_n when_o the_o hook_n be_v behind_o the_o stone_n and_o that_o the_o operator_n intend_v to_o pluck_v it_o out_o the_o handle_n of_o it_o ought_v to_o be_v in_o the_o hand_n with_o the_o end_n rest_v upon_o the_o thumb_n that_o it_o may_v be_v use_v with_o great_a page_n 82_o page_n 83_o the_o finger_n be_v not_o to_o be_v take_v out_o of_o the_o anus_fw-la before_o the_o extraction_n nevertheless_o when_o the_o stone_n break_v because_o of_o its_o softness_n or_o shape_n which_o be_v sometime_o crooked_a like_o a_o crescent_n if_o the_o rest_n can_v be_v extract_v with_o the_o hook_n or_o a_o little_a forceps_fw-la
the_o next_o course_n be_v to_o remove_v the_o finger_n out_o of_o the_o anus_fw-la and_o introduce_v the_o button_n into_o the_o wound_n for_o search_v of_o the_o stone_n and_o have_v feel_v it_o conduct_v a_o forceps_n upon_o the_o button_n to_o lay_v hold_n of_o it_o and_o gentle_o draw_v it_o out_o by_o what_o operation_n soever_o a_o operator_n may_v cut_v when_o the_o stone_n break_v though_o many_o stone_n have_v be_v take_v out_o it_o be_v still_o necessary_a to_o introduce_v the_o button_n to_o search_v and_o examine_v if_o there_o be_v no_o more_o fragment_n remain_v when_o those_o that_o be_v of_o age_n and_o grow_v up_o be_v cut_v by_o the_o lesser_a operation_n it_o be_v not_o necessary_a to_o make_v the_o incision_n so_o high_a as_o in_o the_o great_a operation_n because_o one_o cut_v exact_o upon_o the_o stone_n and_o it_o be_v also_o easy_o to_o avoid_v hurt_v of_o the_o rectum_fw-la if_o a_o patient_n have_v be_v already_o cut_v the_o incision_n be_v to_o be_v make_v upon_o the_o cicatrice_n or_o the_o fistula_n chap._n xv._o the_o manner_n of_o both_o the_o lesser_a and_o great_a operation_n for_o woman_n woman_n and_o maid_n be_v cut_v by_o the_o lesser_a operation_n introduce_v the_o forefinger_n and_o middle-finger_n into_o the_o vagina_n vteri_fw-la if_o it_o can_v be_v do_v without_o violence_n or_o into_o the_o rectum_fw-la for_o feel_v of_o the_o stone_n and_o hold_v it_o firm_a whilst_o with_o the_o other_o hand_n the_o operator_n press_v the_o low_a belly_n to_o make_v the_o stone_n come_v down_o then_o he_o be_v to_o make_v use_n of_o the_o hollow_a straight_a catheter_n which_o be_v introduce_v into_o the_o vrethra_n be_v to_o be_v hold_v by_o a_o servant_n and_o the_o orifice_n of_o the_o vrethra_n be_v to_o be_v dilate_v by_o a_o simple_a dilatatory_n conduct_v in_o the_o cavitie_n of_o the_o catheter_n it_o be_v not_o to_o be_v dilate_v too_o far_o forward_a because_o the_o passage_n be_v short_a and_o that_o the_o dilaacert_v fibre_n may_v not_o hinder_v the_o unvoluntary_a emission_n of_o the_o urine_n the_o dilatation_n be_v make_v the_o catheter_n be_v take_v out_o with_o the_o dilatatory_n and_o the_o finger_n be_v still_o in_o the_o same_o place_n into_o which_o they_o be_v introduce_v the_o stone_n be_v pull_v out_o with_o the_o hook_n or_o a_o forceps_n in_o the_o same_o manner_n as_o from_o little_a boy_n woman_n and_o girl_n may_v be_v excuse_v from_o the_o violence_n which_o they_o sussex_v by_o the_o lesser_a operation_n because_o the_o great_a operation_n be_v more_o convenient_a for_o the_o better_a succeed_a in_o it_o the_o patient_n be_v to_o be_v place_v upon_o the_o chair_n or_o upon_o the_o end_n of_o a_o matteress_n and_o that_o conductor_n which_o be_v shape_v like_o a_o sword_n and_o have_v a_o bill_n be_v to_o be_v introduce_v into_o the_o vrethra_n than_o a_o small_a simple_a dilatatory_n and_o have_v make_v a_o moderate_a dilatation_n whilst_o the_o dilatatory_n be_v still_o open_a the_o chirurgeon_n according_a to_o his_o own_o discretion_n and_o the_o bigness_n of_o the_o stone_n may_v cut_v a_o little_a sideway_n to_o the_o right_n and_o left_a the_o external_a orifice_n of_o the_o passage_n then_o draw_v out_o the_o dilatatory_n and_o introduce_v the_o forceps_n along_o the_o conducttor_n to_o take_v hold_n of_o the_o stone_n and_o to_o extract_v it_o in_o the_o usual_a manner_n its_o scarce_a credible_a how_o much_o the_o vrethra_n may_v be_v dilate_v both_o in_o man_n and_o woman_n there_o be_v some_o operator_n who_o have_v introduce_v the_o straight_a hollow_a catheter_n thâ—â—_n thrust_v in_o one_o of_o the_o conductor_n shape_v like_o a_o sword_n that_o have_v a_o bill_n and_o the_o catheter_n be_v draw_v out_o they_o slip_v easy_o in_o the_o other_o conductor_n which_o be_v sork_v because_o the_o first_o have_v a_o line_n that_o direct_v the_o second_o between_o those_o two_o conductor_n which_o they_o press_v betwixt_o the_o forefinger_n and_o middle-finger_n of_o the_o left_a hand_n they_o thrust_v in_o a_o forceps_fw-la to_o continue_v the_o operation_n other_o successful_o make_v use_v of_o a_o narrow_a gorgeret_n which_o serve_v for_o a_o conductor_n to_o the_o forceps_fw-la mr._n jonnot_n make_v only_o use_v of_o a_o hollow_a straight_a catheter_n or_o of_o a_o large_a probe_n or_o stilet_n for_o conduct_v the_o forceps_fw-la chap._n xvi_o of_o the_o practice_n of_o the_o great_a operation_n for_o man_n and_o of_o circumstance_n during_o the_o time_n of_o the_o operation_n joannes_n the_o romans_n a_o physician_n of_o cremona_n in_o the_o year_n 1520._o invent_v and_o practise_v at_o rome_n the_o great_a operation_n so_o call_v because_o it_o require_v more_o instrument_n than_o other_o methodes_n do_v man_n who_o be_v cut_v by_o the_o great_a operation_n occasion_v more_o trouble_n not_o only_o in_o respect_n of_o the_o operation_n but_o likewise_o in_o respect_n of_o the_o cure_n because_o their_o vrethra_n be_v crooked_a long_a and_o narrow_a and_o their_o way_n of_o live_v render_v that_o part_n many_o time_n subject_a to_o more_o disease_n than_o those_o part_n in_o woman_n page_n 89_o this_o posture_n be_v somewhat_o terrible_a to_o the_o patient_n and_o therefore_o since_o there_o be_v some_o man_n of_o a_o strong_a resolution_n and_o invincible_a courage_n if_o they_o be_v unwilling_a to_o suffer_v these_o ligature_n it_o will_v be_v sufficient_a to_o bind_v their_o thigh_n and_o leg_n in_o the_o manner_n describe_v and_o cause_v their_o arm_n to_o be_v hold_v by_o two_o man_n or_o perhaps_o they_o may_v like_v it_o better_a to_o have_v their_o hand_n tie_v a_o part_n by_o themselves_o make_v they_o lay_v their_o wrist_n one_o upon_o another_o which_o be_v tie_v together_o by_o the_o middle_n of_o a_o bandage_n wrap_v two_o or_o three_o time_n about_o they_o and_o two_o indifferent_a hard_a knot_n the_o two_o end_n be_v to_o be_v bring_v about_o the_o the_o neck_n and_o tie_v together_o with_o a_o run_a knot_n so_o that_o the_o hand_n rest_v about_o the_o pit_n of_o the_o stomach_n or_o the_o cartilago_n ensiformis_fw-la i_o see_v a_o gentleman_n who_o have_v have_v his_o leg_n cut_v off_o cut_v at_o mr._n jonnot_n his_o arm_n be_v tie_v on_o the_o same_o side_n with_o his_o thigh_n and_o the_o want_n of_o his_o leg_n be_v supply_v by_o the_o number_n of_o servant_n who_o hold_v he_o fast_o if_o one_o or_o both_o his_o 〈◊〉_d have_v be_v cut_v off_o he_o 〈◊〉_d have_v 〈◊〉_d master_v by_o the_o number_n of_o man_n who_o can_v have_v hold_v he_o by_o the_o arm_n and_o stump_n whilst_o other_o lean_v upon_o his_o shoulder_n without_o any_o use_n of_o ligarure_n woman_n ought_v to_o be_v situate_v in_o the_o same_o posture_n whilst_o the_o scarf_n be_v apply_v it_o be_v fit_a that_o the_o chrurgion_n shall_v speak_v to_o the_o patient_n but_o in_o few_o word_n that_o he_o look_v upon_o he_o and_o encourage_v he_o with_o discourse_n shune_v every_o thing_n that_o be_v undecent_a because_o one_o must_v be_v very_o reserve_v to_o oblige_v those_o that_o be_v present_a to_o be_v silent_a and_o with_o respect_n to_o be_v attentive_a which_o wonderful_o comfort_v a_o patient_n call_v to_o mind_n that_o to_o laugh_v at_o the_o disease_n the_o infirmity_n or_o expression_n of_o a_o patient_n be_v to_o insult_v over_o a_o man_n in_o affluction_n neminem_fw-la riseris_fw-la ne_fw-la miserum_fw-la ririseris_fw-la it_o be_v better_a to_o have_v but_o a_o few_o spectator_n because_o a_o great_a many_o may_v incommode_v the_o operator_n frighten_v the_o patient_n and_o put_v a_o bad_a construction_n on_o the_o accident_n that_o sometime_o accompany_v the_o operation_n it_o be_v fit_a as_o much_o as_o convenient_o may_v be_v that_o a_o churchman_n shall_v be_v present_a to_o talk_v now_o and_o then_o to_o the_o patient_n that_o may_v help_v to_o divert_v his_o pain_n and_o increase_v his_o patience_n dure_v the_o operation_n when_o the_o patient_n be_v seat_v the_o chirurgeon_n be_v to_o place_v his_o people_n to_o support_v he_o and_o make_v he_o spread_v open_a his_o knee_n lean_a upon_o his_o shoulder_n and_o to_o lift_v up_o the_o scrotum_fw-la or_o hold_v the_o catheter_n if_o a_o servant_n present_v a_o bistori_n he_o be_v to_o be_v on_o the_o right_a side_n of_o the_o operator_n who_o be_v to_o cut_v with_o the_o right_a hand_n and_o he_o shall_v hold_v it_o in_o this_o fashion_n with_o the_o right-hand_a in_o which_o he_o hide_v the_o blade_n of_o the_o bistori_n the_o operator_n when_o he_o take_v it_o be_v to_o put_v his_o hand_n upon_o the_o handle_n the_o other_o servant_n be_v place_v in_o the_o same_o manner_n for_o the_o lesser_a as_o for_o the_o great_a operation_n but_o they_o hold_v the_o patient_n in_o a_o different_a manner_n as_o it_o have_v be_v represent_v by_o the_o figure_n page_n 92_o
before_o the_o operation_n there_o be_v sometime_o a_o procidentia_fw-la or_o fall_v of_o the_o anus_fw-la occasion_v by_o the_o strain_n of_o the_o patient_n if_o the_o fall_a be_v considerable_a the_o operator_n may_v endeavour_v to_o thrust_v it_o up_o without_o violence_n and_o then_o lie_v a_o bolster_n upon_o the_o anus_fw-la which_o a_o servant_n be_v to_o press_v hard_o but_o if_o the_o servant_n hand_n hinder_v the_o operator_n there_o be_v nothing_o to_o be_v put_v upon_o the_o rectum_fw-la for_o after_o the_o operation_n be_v over_o it_o be_v reduce_v and_o many_o time_n return_v again_o of_o itself_o if_o the_o patient_n have_v be_v cut_v already_o the_o incision_n be_v to_o be_v make_v upon_o the_o cicatrice_n or_o the_o fistula_n as_o have_v be_v say_v speak_v of_o the_o lesser_a operation_n one_o may_v cut_v on_o the_o right_a side_n as_o well_o as_o on_o the_o left_a take_v heed_n not_o to_o cut_v the_o suture_a because_o it_o do_v not_o so_o easy_o cicatrice_n and_o be_v also_o attend_v by_o many_o accident_n the_o incision_n in_o child_n be_v make_v at_o least_o two_o finger_n breadth_n in_o length_n in_o man_n 3_o or_o four_o finger_n breadth_n or_o thereabouts_o according_a as_o the_o stone_n be_v think_v to_o be_v of_o bigness_n and_o according_a to_o the_o grossness_n of_o the_o subject_a not_o that_o it_o ought_v to_o be_v make_v too_o large_a for_o when_o the_o stone_n be_v in_o the_o passage_n if_o the_o incision_n be_v too_o small_a recourse_n may_v be_v have_v to_o a_o cut_a with_o the_o bistori_n or_o with_o a_o pair_n of_o scissors_n in_o a_o convenient_a place_n the_o incision_n of_o the_o skin_n and_o membrance_n be_v easy_o make_v but_o many_o time_n the_o vrethra_n be_v not_o sufficient_o open_v unless_o one_o press_v the_o bistori_n hard_a in_o the_o furrow_n of_o the_o staff_n incision_n be_v never_o make_v in_o the_o neck_n of_o the_o bladder_n but_o always_o in_o the_o vrethra_n and_o experience_n convince_v that_o a_o great_a incision_n in_o that_o operation_n be_v as_o soon_o cicatrice_v as_o a_o small_a one_o the_o patient_n be_v set_v in_o a_o posture_n and_o bind_v with_o the_o scarf_n his_o arm_n and_o leg_n be_v hold_v by_o two_o strong_a man_n and_z if_o need_v be_v two_o other_o take_v care_n to_o keep_v his_o knee_n asunder_o a_o servant_n get_v up_o behind_o the_o chair_n to_o press_v upon_o his_o shoulder_n during_o the_o time_n of_o the_o operation_n which_o be_v perform_v if_o it_o be_v possible_a by_o the_o lesser_a operation_n or_o at_o least_o in_o the_o great_a which_o be_v common_o make_v use_n for_o man_n and_o little_a boy_n by_o introduce_v a_o furrow_a catheter_n wherewith_o the_o operator_n search_v and_o be_v certain_a if_o there_o be_v a_o stone_n or_o not_o if_o nothing_o be_v feel_v with_o the_o furrow_a catheter_n it_o be_v necessary_a to_o introduce_v a_o catheter_n who_o bill_n be_v not_o so_o long_o make_v the_o patient_a void_a his_o urine_n and_o if_o there_o be_v a_o stone_n it_o will_v by_o that_o mean_n be_v more_o easy_o find_v because_o when_o it_o float_v be_v little_a and_o smooth_a it_o will_v follow_v the_o course_n of_o the_o urine_n and_o the_o catheter_n will_v turn_v better_o in_o the_o bladder_n when_o the_o stone_n be_v find_v the_o furrrowed_a catheter_n be_v again_o to_o be_v introduce_v if_o the_o patient_n have_v be_v cut_v it_o be_v hard_a to_o introduce_v the_o catheter_n and_o therefore_o one_o be_v to_o be_v take_v of_o a_o size_n that_o will_v suit_v with_o a_o young_a subject_n and_o sufficient_o long_a according_a to_o the_o age_n of_o he_o that_o be_v to_o be_v search_v there_o be_v some_o operator_n who_o hold_v the_o catheter_n themselves_o when_o they_o make_v the_o incision_n other_o cause_v a_o servant_n to_o hold_v it_o who_o be_v place_v at_o the_o side_n of_o the_o chair_n opposite_a to_o the_o groin_n whereon_o the_o operator_n be_v to_o make_v the_o incision_n for_o example_n the_o chirurgeon_n perform_v his_o operation_n on_o the_o left_a side_n of_o the_o suture_a the_o servant_n shall_v be_v on_o the_o patient_n right-hand_n and_o have_v wipe_v and_o dry_v the_o scrotum_fw-la and_o perineum_fw-la he_o shall_v lift_v up_o the_o cod_n with_o the_o lefthand_n and_o shall_v rest_v his_o other_o hand_n upon_o the_o ring_n and_o end_n of_o the_o the_o catheter_n incline_v the_o furrow_n a_o little_a towards_o the_o patient_n leave_v side_n and_o he_o must_v take_v care_v not_o to_o make_v it_o come_v out_o of_o the_o bladder_n which_o he_o may_v avoid_v if_o he_o bring_v not_o the_o ring_n of_o the_o catheter_n too_o near_o the_o belly_n the_o chirurgeon_n ought_v to_o mind_n first_o bid_v he_o hold_v fast_o and_o not_o waver_v and_o cause_v other_o to_o lean_v upon_o the_o patient_n shoulder_n because_o at_o that_o very_a time_n the_o operator_n ought_v to_o pull_v the_o suture_a towards_o the_o right_a side_n place_v the_o thumb_n of_o his_o lefthand_n near_o the_o anus_fw-la and_o his_o other_o finger_n near_o the_o scrotum_fw-la have_v feel_v with_o the_o fore_n finger_n of_o the_o right-hand_a and_o observe_v the_o place_n where_o the_o back_n of_o the_o catheter_n be_v in_o the_o same_o manner_n as_o one_o do_v to_o find_v the_o vein_n before_o blood_n let_v pull_v still_o the_o suture_a to_o the_o right_n with_o the_o right-hand_a he_o be_v to_o take_v the_o bistori_n mount_v which_o the_o servant_n presion_n in_o the_o place_n design_v as_o you_o see_v represent_v by_o this_o figure_n in_o make_v incision_n he_o be_v to_o search_v for_o the_o furrow_n of_o the_o catheter_n into_o which_o he_o be_v to_o thrust_v the_o point_n of_o the_o bistory_n he_o be_v to_o press_v hard_a swath_a above_o towards_o the_o cod_n and_o below_o sink_v the_o wrist_n that_o the_o point_n of_o the_o bistory_n may_v be_v always_o direct_v into_o the_o furrow_n underneath_o the_o catheter_n that_o the_o urethra_n may_v be_v exact_o cut_v avoid_v the_o scrotum_fw-la the_o rectum_fw-la and_o the_o hemorrhoide_a vein_n then_o he_o shall_v return_v back_o the_o bistory_n and_o take_v the_o gorgeret_n to_o introduce_v it_o into_o the_o furrow_n after_o that_o with_o the_o left_a hand_n he_o shall_v lay_v hold_n on_o the_o catheter_n by_o the_o end_n which_o the_o servant_n hold_v to_o prevent_v the_o finger_n of_o the_o operator_n leave_v hand_n from_o slide_v during_o the_o time_n of_o the_o incision_n he_o may_v make_v use_n of_o a_o very_a narrow_a compress_v to_o help_v he_o to_o press_v and_o pull_v the_o suture_a towards_o the_o patient_n right_a side_n if_o in_o make_v incision_n the_o operator_n himself_o hold_v the_o catheter_n the_o servant_n who_o extend_v the_o perineum_fw-la may_n upon_o the_o same_o account_n put_v very_o narrow_a compersses_n betwixt_o his_o finger_n and_o the_o skin_n that_o so_o he_o may_v hold_v the_o two_o side_n of_o the_o suture_a firm_a towards_o the_o thigh_n by_o that_o mean_v the_o humidity_n will_v not_o hinder_v he_o to_o press_v upon_o they_o as_o much_o as_o be_v necessary_a mounseur_fw-fr ruffin_n a_o swear_a chirurgeon_n of_o paris_n one_o of_o the_o able_a of_o his_o time_n perform_v the_o operation_n in_o this_o manner_n in_o the_o hospital_n of_o the_o charity_n page_n 99_o the_o furrow_n of_o the_o catheter_n be_v discover_v and_o the_o bistory_n return_v back_o he_o take_v a_o conductor_n with_o a_o elbow_n towards_o the_o middle_n which_o be_v compose_v of_o two_o in_o the_o form_n of_o a_o sword_n he_o thrust_v the_o bill_n of_o it_o into_o the_o furrow_n still_o hold_v the_o catheter_n and_o when_o it_o be_v introduce_v into_o the_o bladder_n he_o draw_v out_o the_o catheter_n and_o convey_v his_o forceps_n betwixt_o the_o branch_n of_o the_o conductor_n to_o introduce_v it_o into_o the_o bladder_n the_o conductor_n be_v take_v out_o he_o continue_v the_o operation_n these_o two_o way_n be_v very_o good_a and_o have_v both_o their_o advantage_n because_o when_o the_o operator_n himself_o 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be_v use_v be_v to_o put_v upon_o the_o incision_n a_o square_a dry_a compress_v about_o three_o or_o four_o finger_n breadth_n in_o bigness_n and_o indifferent_o thick_a and_o hold_v it_o on_o with_o one_o hand_n to_o take_v the_o patient_n about_o the_o body_n and_o with_o assistance_n and_o help_n to_o carry_v he_o to_o bed_n we_o have_v already_o say_v that_o the_o collar_n may_v be_v put_v on_o before_o the_o operation_n afterward_o take_v a_o frond_n or_o truss_v suitable_a to_o the_o patient_n it_o be_v to_o be_v lay_v upon_o his_o back_n above_o the_o buttock_n that_o so_o the_o two_o head_n or_o strap_n call_v the_o twin_n and_o which_o may_v be_v then_o call_v the_o superior_a may_v serve_v for_o a_o girdle_n the_o body_n or_o middle_n of_o the_o bandage_n in_o the_o mean_a time_n decline_v towards_o the_o place_n where_o the_o incision_n have_v be_v make_v which_o hinder_v the_o stop_n up_o of_o the_o anus_fw-la before_o the_o two_o superior_a strap_n of_o the_o frond_n or_o truss_v he_o tie_v together_o for_o make_v of_o a_o girdle_n imbrocation_n be_v to_o be_v make_v upon_o the_o belly_n and_o the_o cod_n with_o the_o warm_a oil_n of_o rose_n and_o camomile_n to_o prevent_v the_o painful_a tension_n of_o the_o body_n and_o to_o cure_v it_o and_o a_o astringent_a plaster_n be_v to_o be_v apply_v to_o the_o belly_n with_o the_o ventriere_n or_o belly_n piece_n soak_v in_o warm_a oxycrat_n then_o must_v the_o two_o superior_a or_o upper_a strap_n of_o the_o truss_n be_v tie_v together_o towards_o the_o patient_n right_a side_n the_o one_o of_o they_o pass_v under_o the_o collar_n afterward_o the_o compress_v which_o be_v put_v upon_o the_o wound_n dry_a and_o be_v since_o the_o operation_n steep_v in_o blood_n be_v to_o be_v take_v off_o and_o medicine_n apply_v to_o the_o place_n if_o there_o be_v a_o hemorrhage_n astringent_a powder_n and_o pledget_n be_v to_o be_v make_v use_n of_o and_o when_o there_o be_v no_o hemorrhage_n a_o indifferent_a thick_a 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one_o must_v take_v the_o other_o end_n which_o be_v more_o remote_a from_o the_o anus_fw-la and_o give_v it_o a_o turn_n outward_o towards_o the_o body_n of_o the_o bandage_n to_o make_v a_o equal_a compressure_n it_o be_v likewise_o to_o pass_v over_o the_o square_n compress_v that_o be_v upon_o the_o wound_n and_o disengage_v the_o finger_n wherewith_o it_o be_v hold_v it_o be_v to_o be_v carry_v along_o the_o rite_n groin_n make_v but_o a_o very_a slight_a compression_n then_o the_o hand_n that_o hold_v on_o the_o dress_n be_v to_o be_v remove_v and_o with_o the_o help_n of_o both_o hand_n this_o last_o end_n be_v convey_v under_o the_o girdle_n before_o and_o on_o the_o right_a side_n and_o then_o tie_v with_o the_o knot_n call_v the_o mariner_n knot_n the_o same_o be_v do_v to_o the_o other_o end_n on_o the_o left_a side_n or_o otherwise_o if_o both_o end_n be_v long_o enough_o after_o they_o have_v be_v bring_v under_o the_o girdle_n they_o be_v tie_v together_o by_o the_o 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the_o truss_n and_o the_o other_o end_n which_o make_v the_o tail_n of_o the_o t_o pass_v betwixt_o the_o thigh_n and_o crossway_n upon_o the_o dress_n will_v hold_v it_o fast_o and_o press_v it_o as_o little_a as_o one_o please_v when_o the_o patient_n have_v a_o mind_n to_o make_v water_n the_o bandage_n be_v to_o be_v take_v off_o they_o be_v not_o subject_a to_o so_o many_o accident_n and_o they_o be_v soon_o cure_v than_o men._n in_o man_n the_o first_o dress_v may_v be_v remove_v within_o twelve_o hour_n after_o the_o applicat_fw-la on_o renew_v the_o imbrocation_n with_o the_o same_o astringent_a and_o the_o same_o belly_n piece_n for_o four_o or_o five_o day_n at_o least_o or_o more_o if_o the_o belly_n be_v swell_v or_o pain_a one_o may_v likewise_o make_v use_n of_o fomentation_n of_o the_o belly_n with_o rough_a wine_n and_o red_a rose_n and_o sometime_o they_o be_v to_o be_v reiterated_a four_o or_o five_o time_n a_o day_n the_o wound_n be_v to_o be_v dress_v with_o the_o lineament_n of_o arceus_n half_o melt_v to_o make_v it_o penetrate_v the_o more_o with_o the_o finger_n or_o feather_n of_o a_o quill_n introduce_v to_o the_o very_a bottom_n of_o the_o wound_n as_o gentle_o as_o may_v be_v then_o a_o little_a flat_a pledget_n dip_v in_o the_o same_o lineament_n be_v to_o be_v apply_v upon_o the_o lip_n of_o it_o with_o a_o triangular_a plaster_n soak_v in_o warm_a oil_n of_o rose_n use_v a_o compress_v and_o a_o truss_v moisten_v with_o warm_a oxycrat_n and_o a_o clean_a dry_a frond_n or_o bandage_n to_o be_v change_v at_o every_o new_a dress_n as_o at_o first_o for_o the_o follow_a day_n the_o patient_n be_v to_o be_v dress_v twice_o every_o four_o and_o twenty_o hour_n due_o change_v the_o dress_n except_o that_o of_o the_o belly_n which_o may_v serve_v for_o the_o first_o day_n and_o ever_o now_o and_o then_o the_o patient_n be_v to_o be_v make_v dry_a which_o be_v observe_v to_o be_v do_v when_o they_o be_v a_o dress_n not_o forget_v to_o make_v they_o clean_o for_o avoid_v a_o gangrene_n they_o be_v to_o be_v dress_v with_o all_o speed_n and_o diligence_n and_o the_o wound_n keep_v open_a as_o little_a as_o may_v be_v have_v a_o fire_n always_o in_o the_o room_n to_o correct_v the_o badness_n of_o the_o air._n after_o five_o or_o six_o day_n there_o be_v no_o more_o use_v make_v of_o oxycrat_n nor_o astringent_a nor_o of_o the_o triangular_a plaster_n but_o only_o of_o a_o dry_a belly_n piece_n and_o in_o the_o incision_n three_o or_o four_o drop_n of_o the_o lineament_n of_o arceus_n with_o a_o feather_n or_o the_o finger_n and_o a_o flat_a pledget_n upon_o the_o lip_n of_o the_o wound_n the_o balsam_n of_o peru_n and_o of_o capivei_n which_o be_v call_v natural_a white_a balsam_n be_v sovereign_a remedy_n for_o agglutination_n that_o of_o capivei_n be_v excellent_o good_a from_o the_o begin_n to_o the_o very_a end_n some_o take_v equal_a part_n of_o the_o lineament_n of_o arceus_n and_o the_o oil_n of_o egg_n other_o make_v use_n of_o the_o lineament_n of_o arceus_n during_o the_o whole_a cure_n other_o again_o of_o capivei_n some_o there_o be_v that_o make_v a_o mixture_n of_o equal_a part_n of_o basilicum_fw-la of_o venice_n turpentine_n and_o oil_n of_o egg_n or_o the_o lineament_n of_o arceus_n and_o the_o success_n be_v alike_o provide_v the_o operation_n have_v be_v fortunate_a and_o no_o bad_a accident_n superveen_v upon_o these_o medicine_n a_o pledget_n be_v put_v and_o a_o plaster_n of_o diacalciteos_n a_o little_a long_o than_o the_o wound_n and_o of_o a_o breadth_n proportionable_a to_o the_o subject_n a_o dry_a truss_n to_o bear_v up_o the_o cod_n a_o compress_v and_o a_o bandage_n upon_o