XXII. The second way of Cut∣ting, called Apparatus Major. Put the Patient on a Table, be∣ing first bound, and held, as a∣bove: then through the Ʋre∣thra pass a Director into the Bladder to the Stone: After make an Incision, as aforesaid, in the hollow of the Director; put in the Conductor, taking the Director out; then pass through the Wound the Forceps or Lapidillum, or other fit In∣strument, by which the Stone may be both layed hold on, and drawn forth, not making use of the Fingers in the Anus, except great necessity urge it.
XXIII. If the Stone is bigger than the Orifice, so that it cannot come forth, the Wound must be in∣larged either by Incision, or the Di∣lator; or else the Stone must be broken in pieces by the Forceps, and so drawn forth in Parts; after this, dry, stop the Blood, bind up, and consolidate, as we taught before.