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water_n good_a ounce_n put_v 4,229 5 5.6435 4 false
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ID Title Author Corrected Date of Publication (TCP Date of Publication) STC Words Pages
A62853 A treatise of lithotomy, or, Of the extraction of the stone out of the bladder written in French by Mr. Tolet ... ; translated into English by A. Lovell.; Traité de la lithotomie. English Tolet, François, 1647-1724.; Lovell, Archibald. 1683 (1683) Wing T1775; ESTC R18681 65,586 200

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as_o for_o the_o order_n of_o the_o complication_n chap._n xxiii_o of_o medicine_n to_o prevent_v the_o stone_n for_o avoid_v of_o the_o stone_n and_o of_o medicament_n for_o dress_v those_o that_o be_v cut_v though_o we_o promise_v to_o inquire_v into_o the_o medicine_n that_o may_v prevent_v the_o stone_n we_o must_v however_o confess_v that_o it_o be_v very_o difficult_a and_o perhaps_o impossible_a to_o determine_v precise_o wherein_o they_o do_v consist_v because_o the_o most_o learned_a in_o natural_a discovery_n speak_v only_o in_o general_n of_o the_o figure_n of_o body_n and_o microscope_n have_v not_o be_v able_a to_o make_v know_v the_o particular_a nature_n of_o every_o one_o nor_o yet_o of_o all_o their_o pore_n possible_o we_o may_v succeed_v without_o observe_v all_o these_o particularity_n for_o though_o inquiry_n into_o nature_n be_v pursue_v to_o that_o very_a point_n yet_o still_o there_o will_v be_v cause_n that_o do_v not_o depend_v on_o we_o and_o which_o may_v 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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
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