C 4°7 ] 
Peter le Grand ; who died in three Months after 
cutting, of a finuous Fijlula in the 'Pelvis. 
Giles Laurence ; who had likewife an Hemorrhage. 
Of three or four foft Stones which he had, the greatcft 
Part remained, and he died the fourth Day. 
As I was accuftomed to good Succefs in our lateral 
Operation, I was concerned for the Accidents that 
happen’d in thefe firft Trials mere fenfibly than an- 
other would probably have been. I publickly open’d 
the three above-mentioned Subjects. The Incifions 
of the Bladder were found to be moft exa&ly done 
in the Place above fpecificd, without hurting any of 
the neighbouring Parts: And it plainly appeared, that 
the Death of thefe Subjects was occafioned by the fol- 
lowing Inconveniences attending this Method. 
1. The Hxmorrhage, which is almoft inevitable 
from the Depth of the Incifion. 
2. The Stripping of the Gut of the cellular Mem- 
brane that furrounds it; which, together with the 
Depth of this Denudation occaitons putrid Ulcers by 
the Irruption of the Urine into the reft of the cellu- 
lar Membrane, behind the Septum Levator Ani > 
and thence into the whole Circumference of the 
Bladder. Mr. Chefelden complained of this Accident, 
when he try’d this Method. 
3. The Stones more difficult to be found, either 
with the Fingers, or thelnftruments ; efpecially when 
they are lodged in the right Side, and anterior Part, of 
the Bladder. 
4. Even when the Operator has laid hold of the 
Stone, he finds more Difficulty in extracting it than 
in any other fort of the lateral Operation. I was 
formerly of the contrary Opinion 5 but Experience 
has fince convinced me, and I have plainly feen the 
Fff 2 Grounds 
