[ 4- 11 3 
That it is not pta&icable on Subjects of too full a 
Habit of Body, on indurated Bladders, which are faid 
to be very common in Perfons aifli&ed with the 
Stone, 
One might fay, in Anfwer to thefe Obje&ions 
a gain ft the high Operation, that Perfons troubled with 
the Stone are very feldom plethoric j for I do not 
remember to have met with one Inftance of it in 
above fifteen Years that I am converfant with this 
Diftemper : That mod Part of the indurated Bladders 
become fo, by the Stones being lodged many Years 
therein, and that fuch Stones are of extraordinary 
Size and Weight; and that, in this Cafe, the Bulk 
of the Stone alone pufhes the Bladder forward enough 
to be able to cut by the high Operation ; and the 
rather, becaufe thefe Subjects are fo much emaciated, 
that, generally fpeaking, one may feel the Stone 
above the ■ Tubis , thro’ the very Integuments. 
This I have experienced on one Anthony Germain , 
of forty-four Years of Age, a Native of Calais , but 
refining at Fjiepe? who coming to our Hofpital in 
order to be cut, and being dead of an accidental Fever, 
even before the [ufual] Preparation, I cut him, by 
the high Operation, on the very Stone, and without 
injecting the Bladder. This Stone however was not 
exedfively large : It is reprefented of half its natural 
Dimenfions, together with the Bladder, in Tab. IV. 
Fig. 5. and 6, and it weigh’d but eight Ounces. 
But, granting that the high Operation is not a ge- 
neral Method, is there any one Method univerfally 
proper in all Cafes? And even the lateral Operation,, 
which I look upon as the molt perfect of all the 
Sorts of the low Apparatus* does it lay Claim to 
