«. rzLf. ii.
■ FU- 46.
V. » 01 . f.
n. 136. f.
( >S+ )
near as big as a Pigeons Egg, aster the fame manner and Method as be-sore describ’d and with as good Success, theugh not altogether with asquick Expedition.
3. 1 have been still mire confirm’d in my Opinion os the Re isonablentfsoftbis Method, by soveral otber successui Operation; 1 have so n ofthelikeKind : but more particularly, by one lately perform’d in Dublin on SarahJenes , a Girl between 11 and 12 Years of Age, that sor 6 Years hat! been se -verely afflicted wi'.h all the Painful and usoal Sympt rms of the St one. ButOff.i 6 . 1697. ^ ne WJS buppily reliev’d, by only Dilatmg gently the Neckof the Bladder , and then ExiraBitsg a Stone of a very considerable Bulk,without making any Incston at all. The whole Operation was perform’din 6 or 7 Minutes.
By the extraordinary luge Siz,e of th’s Stone, it may (eem altnost incre-dible, that a Solid of that Bulk Ihould bc torced through the U> ethra of (bsinall and so youngaChild, without any manner of Setlion: and that theChild Ihould recover so as to be perfectly well, without the least ill Acci-dent succeeding the Operation. But we may gather hence, os what vastExtension this Urinary Pastage, though naturally strair, is capable; andhow much still Wider it may be Dilated where ’tis propordonably larger,
I mean ofthose of tfis Sex of riper Years, or grown up to TVomans Estate;who may yet more easily and safely be relieved after this manner, even ofStones of a much larger Size than this we here fpeak of.
The Frcnch , a Nation certainly very fubject to the Stone in the Bladder,and whose Chi' urgeons therefore must of receiLfy be very conversant wichthis Difease, and expert in the Operations requisite for the Cure of it, have,Isce, lately Estabhfhed this fort ofPractice; tho’ I must needs own I didnot know so much, till I had perused a very useful Book of Chirurgery,Publilhed but this last Year, 1696 at Paris in ivo.byM.de la Vauguion;Entituled Tratte Complet des Operations deChirurgie. And I cannot but recom-mend it to the skilfull Chirurgeon as an Operation sit for genera 1 Uso in the soCasos, being both Safe and Easily practicable, and also of great Benefit andRelief to no ltß than the Moitty of Mankind, whentver they are afflictedwith this painful Disease. And to say truly, if JVomen in this Casc would buttimely setkforhelp, before the Stone be too much grown, they might withfar lest Dangcr and Pain be releived os this Tor wring and Casting Evil, thanthey are delivered of a common Natural Birth■ But if at any time a Stonebe found of so large a Bulk as not to admir this fort of Operation , then theSeclion, if the Chirurgion be so hold as to venture on it, must be made soTVide, as wholly to Cut through the fhort Neck of the Bladder , and to di-vide likewife fome part ofitsthin MembranousSubfance, which is knownto be of the most dangerous Consoquence in Cutting the Sterte, and tobe avoided as cei tain Daath to the Patient ; aecording to that Aphorisorof Hippocrates , Cui Secla est Vesica Lethale est. However I haveRtason to think the Instances of this Kind will be very rarely metwith: For Experience Justifies what I have obsorv’d above, that ITomen arenot capable by Nature os breeding Stones in their Bladders of so Big a
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