346 MEM O IR S of the 
It is to be obfcrved, that he ufes no CondiSor the fecond 
time, nor at any other, the Forceps running in very eafily j he 
never thrufts either his finger or any inftrument into the blad- 
der, without Iteepina them in oil of rofes 3 he never ufes any 
^ilatorium or Cannula, or tents in the wound, except fome- 
times fmall doffils in the lips of the outward wound, to keep 
them open for a little while 3 he only applies a pledget, fteeped 
in oil of rofes, upon the wound ^ he operates this way as dex- 
teroufly as any of our bell operators 5 he very often cuts the 
patient upon the gripe, almoft in the fame manner as was ufed 
formerly, except that he makes the incifion in the fame place 
as is done for the former 5 this way he likes better than the 
other, and indeed it is furer, tho' his preffing upon the belly is 
a very bad method ; he cuts women alfo upon the llaff, and in 
the fame place as men, only that he cuts the internal neck of the 
Uterus-^ but in M. S/(/7/ere's opinion, that way either in men 
or in women is not fo fure as the ancient method, by reafon 
that the point of the knife, not being dire6led by the ftaff, he is 
always in danger of piercing all the membranes of the bladder 
thro' and thro' ^ and befides, the place whereupon he makes the 
incifion being full of confiderable veflels, one can hardly avoid 
the cutting fome of them^ he obferved in almoft all that died 
in the Hermit's hands, that there was a great deal of blood in 
the bladder, and fome in the cavity of the Abdomen-^ he 
lucceeds better when the ftone is big and large, than when it 
is fmall, by reafon that a big Hone not only extends the bladder, 
but it flops the point of the knife 5 and when there is but a 
fmall ftone, the bladder being empty, he muft neceffirily cut 
it throughout, and confequently fome of its veffels, which 
caufes the hemorrhage, that is better avoided when the ftone is 
very large. 
M. SuJJiere's obfervations upon this way of operation are 
thefe; he took a body, in the bladder of which he put a ftone 5 
the ftaff being in the bladder, he prelfed it downwards, hard 
enough to be felt thro' the teguments, and made the incifion 
upon it in the bent of the thigh, in order to know whether it 
would not be a furer way, by fecuring the point of the knife; 
by that means he got his Condu5ior and Forceps into the blad- 
der, and extrafted the ftone very eafily ; but afterwards, by the 
diffeftionofthe body, he found that the artery of the 'Penis 
and the Vcficul^ feminaks were cut thro' and thro', which 
cannot be avoided, becaufe the artery and Veficidc^ lie imme- 
diately 
