[ +°9 ] 
fiderable Obftacle; and indeed fo confiderable, that,; 
in the Cafe of John Refer T)ejtnareft it could not 
be forced by the greateft Efforts: A Circumftance 
which has never happened to me in the lateral Ope- 
ration thefe ten Years paft that I have ufed it. 
5. Tho' I have had the good Fortune, in the fore- 
going Operations, not to hurt the Veficul <e feminaies , 
nor the Ureter , much lefs the Return ; and that, with 
the Precautions which I have laid down in the Ac- 
count of my Manner of doing the Operation, one 
always avoids thefe Accidents ; yet it muft be allowed, 
that the above-mentioned Organs are extremely near 
the Incifion ; and that in fo terrible and bloody an 
Operation as that of Cutting for the Stone, one is 
not always in a Condition to makefo find an Exa- 
mination as is requifite for fhunning thefe Dangers. 
For which reafon I reckon them as one of the Incon- 
veniences of this Method, efpecially of that which 
opens between the two Vejiculte \Jeminales\ : And I 
have found it fo on fome dead Bodies, which I cut 
by an affeded Negligence, without making ufe of that 
fcrupulous Exaditude of which I have juft now made 
mention. In my Opinion, the fecond Method Lhave 
fpoken of, to wit , that wherein the Bladder is opened 
above the left Vejicula feminalis, is lefs expofed to 
the Hazards above mentioned, efpecially with our Staff. 
But it is fubjed to the other Inconveniences, and alfo 
to this additional one of Opening the Bladder in a 
Place thick fet with [Blood} VefTels, and in particu- 
lar with a very confiderable Rlexus 1 as is well known, 
to thofe who have diffeded thefe Parts. 
In fine, I do not pretend in this Place to examine 
the Advantages and Inconveniences of all the different 
Methods.. 
