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this Univerfality ? It mu ft be allow’d, that It does not, 
whatever Attachment one has to it. True it is, that 
very large Stones are extracted by this Method ; but 
it is equally true, that the Lacerations attending the 
Extraction of thefe large Stones are generally mortal, 
and always followed by Fijlulas. It is a decided 
Point in Practice, That large Openings, whether 
made by Incifion or Laceration, in the lower Part of 
the Body of the Bladder, are almoft all mortal : 
Wherefore our Pofterity may lpare the Public from 
fuch murdering Experiments. Thus the Cafe of large 
Stones is one of thofe, wherein the lateral Operation 
becomes too fatal to venture putting it in Practice ; 
and belides, we are not deftitute of Examples to 
prove, that fome Stones are too large to be extracted 
by this Method, even with all thefe Rifques it is exr 
pofed to. 
On the other hand, Experience has long fince de- 
termined, that the largeft Stones, even thofe on 
which the low Apparatus has failed, are extracted 
by the high Operation with Eafe, and conftant Suc- 
cefs. This then is one Cafe, wherein the high Ope- 
ration, if it be not an univerfal Method, is at leaft 
the only one. I think this Circumftance might have 
deferved more of the Attention of Lithotomifts ; and 
that, while they cultivate new Ways of Cutting by 
the low Apparatus (which are indeed ufeful in a 
great Number of Cafes), they Ihould not abfolutely 
negleCt the high Apparatus , which [in its Turn] is 
neceffary in feveral Cafes, wherein the former are 
either infufficient, or very dangerous. For, even fup- 
pofing the Number of thefe Cafes to be but fmall, 
the high Operation is not the lefs a necefiary Sup- 
plement 
