Annals oftheRoyal College of SurgeonsofEngland

Volume 62January-November 1980

EditorA J Harding Rains MS FRCS

Assistant EditorR M Kirk MS FRCS

Associate EditorsJ E Riding MD FFARCS

(representing the Faculty of Anaesthetists)

K P Liddelow CBE FDSRCS FDSRCSEd(representing the Faculty of Dental Surgery)

Executive Editor (British Medical Association)D I Crowther BM Bch MRCS LRCP

Published by The Royal College of Surgeons of Englandirn conjunction with the Journal Department of the British MedicalAssocation, B.M.A. House, Tavistock Square, London, WCiH 9JR

CONTENTS

Volume 62 January-November 1980Page

SCIENTIFIC ARTICLESScience and service F D Moore 7Respiratory obstruction in thyroid surgery I S Hilary Wade I5Gastric carcinoma: is radical gastrectomy worth while? William P Longmire Jr 25Surgical management of hyperparathyroidism Oliver H Beahrs 31Early carcinoma of the breast (Symposium) 35Wound infection: a controlled clinical and experimental demonstration of synergy

between aerobic (Escherichia coli) and anaerobic (Bacteroides fragilis)bacteria M J Kelly 52

Drainage after cholecystectomy C P Chilton and C VMann 60Limb ablation and limb replacement (Symposium) 87Endoscopy (RCS/ACS Round Table) I o6The team approach in the management of oral cancer

Alexander D Rapidis, Angelos P Angelopoulos, and John D Langdon ii 6The treatment of burns David E Tolhurst I20Frequency of atopy, allergy, and previous general anaesthesia in surgical specialties

J P H Fee, J R McDonald, and J WDundee I25Evaluation of a new product for sutureless skin closure S Westaby 129Malignant disease of the colon, rectum, and anus in Nigerian Igbos

David C Nwafo, and Joseph 0 Ojukwu 133Apical disease: an analysis of diagnosis and management with special reference

to root lesion resection and pathology David Winstock I 7'The effects of extreme cold on sensory nerves David Barnard I8oFree-radical reaction in biological systems T L Dormandy i88Inflammatory carcinoma of the breast John Maxwell Anderson I95The cervicolumbar syndrome Abdur R Choudhury and Julien C Taylor 200Pain relief and pituitary function following injection of alcohol into the pituitary

fossa Norton E Williams, John B Miles, Samson Lipton,Leslie J Hipkin, and James C Davis 203

Intra-artcrial chemotherapy for patients with inoperable carcinoma of the pancreasLord Smith of Marlow and J-C Gazet 208

British Association of Clinical Anatomists, Summer Meeting, 1979 213Anaesthesia for bronchography in small children David W Ryan 223Cystic tumours of the breast R A Payne and D B Jackson 228Adequate fasciectomy and the use of full-thickness skin gussets in the treatment

of Dupuytren's contracture John E Crockett 230An eagle at the College J E Cooper 240Blood transfusion and organ transplantation George Proud 271Cell communication in breast cancer Ian S Fentiman 280Flow rate of nutrient preparations through nasogastric tubes F D Skidmore 287An evaluation of some mechanical resuscitators for use in the ambulance service

T Harber and B G B Lucas 291Experienices with abdominal aortic aneurysms in a district general hospital

Clayton H Marsh 294Cross-leg flap repair: a suggested change of routine

B Hirshowitz and B S Crawford 297On the natural history and comparative pathology of the blue naevus

Arnold Levene 327Cerebral revascularisation in stroke prophylaxis J S P Lumley 33,F,

PageFibrosis in the lymph nodes in primary lymphoedema

J B Kinmonth and J H Wolfe 344The diagnosis of pelviureteric junction obstruction H N Whitfield 355Infusion thrombophlebitis: the histological and clinical features C R I Woodhouse 364The arteries, arterioles, and capillaries of the spinal cord George F Dommisse 369British Association of Clinical Anatomists, Annual General Meeting 1980Outpatient preoperative assessment: the anaesthetist's view Anita Holdcroft 382Silicone rubber band treatment of rectal prolapse

F R Jackaman, J N Francis, and B R Hopkinson 386Meniere's disease: the selection and assessment of patients for surgery using

electrocochleography J B Booth 415The morphological and functional characteristics of the innervation of the

subglottic mucosa of the larynx Festus K Adzaku 426Progress and frustration in inflammatory bowel disease Bryan N Brooke 432Surgery in a mission hospital G W Hankins 439Surgery of the foot in falcons John E Cooper 445The place of subcutaneous mastectomy with immediate silicone prosthetic

implantation in diseases of the breastKevin G Burnhand, Andrew S Bulman, and Anthony G Nash 449

Central nervous catheterisationA Hugh McLean Ross, John R Anderson, and Andrew D F Walls 454

Ultrasonic surgery W I B Hodgson 459The anatomy of the gastrin cell Neil I McC Mortensen 462The perioperative management of patients with polycythaemia Jeffrey Cundy 470

HISTORICAL ARTICLESA constellation of Conservators A J E Cave 66Sir Gilbert Blane, Bart, MD FRS (I794-1832) R D Leach 232William Home Clift: the first Assistant Conservator of the Hunterian Museum

Frances Austin and Bernard Jones 299Different letters from the past 71, 146, 304, 388

OTHER ARTICLESFrom the President Sir Reginald Murley IThe medical and dental professions and the State: an uneasy partnership

Lord Smith of Marlow 259The surgical staffiing of the future F S A Doran 136'The nature, substance and quality demanded' Sir Frank Hartley I42Fixation of fractures: organising a course A Graham Apley 219Courses in surgery G I Hadfield and P Gilroy Bevan 244, 488Negligence and the surgeon J E Woodyard 476

POINTS OF VIEWOrthopaedic training in the United States, Ireland, and Britain: a comparison

David J FitzPatrick 479The surgical senior registrar Harold Ellis 482

COMMENT 74, 150, 241, 305, 390, 484

COLLEGE AND FACULTY NEWSAdmission to Court of Patrons: Mr Jocelyn Hambro 401

Mr Harry Litchfield 402Admission to Honorary Fellowship in the Faculty of Dental Surgery:

Lord Smith of Marlow I 62

Annual Meeting of Fellows and Members, I979Appointments of Fellows to consultant and similar posts 253College Tutors, September 1980 (Part I)Council electionCouncil meetings 79,I56, 248Court of Examiners, ReportsCriteria for consultant statusCriteria for recognition of hospital posts under the FFARCS regulationsCriteria for reimbursement of expenses for higher specialist trainingDeaths of Fellows 8o, 82, 157, 251Diary 84, i 67, 256Diploma in General Dental Surgery, Report of Panel of ExaminersDonations 80, 157, 250Election of President and Vice-PresidentsElection of Professors and Lecturers, I980-8IExecutive Committee MeetingFaculty of Anaesthetists 79, 83, 157, 249, 314,Faculty of Dental Surgery 249, 255, 314, 315.Fellows of fifty years standingHoliday lectures for young peopleHonorary Fellowship: Professor Louis Hollender

Professor Harold HopkinsSir Frank HartleyLord RichardsonProfessor Michel PortmannProfessor Jan Nielubowicz

Honorary Medal: Mr George QvistHonours conferred on Fellows and MembersIn Memoriam: Sir Cecil Wakeley

Mr Walpole LewinRaising funds for the College (R N Hickling)SRS-A: a major breakthroughStaff retirements: Mr W F Davis and Mr George Taylor

NOTES ON BOOKS

PageI, 159

3320, 409, 49249'400

3, 313, 396, 487254, 493

i63252250

3 I 6, 398, 488, 322, 410, 495

494I, 315, 398, 488

39649,0249

319, 321, 397397, 405, 410

49'4943173183I8402

40340482

159, 40077

3I6489251166

86, I68, 25t, 322, 4 1, 496

NOTICES 86, 170, 258, 325, 411, 497

INDEX TO VOLUME 62

I2 Francis D Moore

into molecular biology on the one hand and asort of surgical socioeconomics on the other.This new field is, in a sense, an academic dis-guise for humanism because it deals with thehuman service aspect of surgery and its appli-cation to people. Perhaps sociology and socio-economics, in their announced zeal to do' thebest for the most, seek to replace our ancienthumanism and our sense of Christian charitywith something more precise but scmehowless satisfying. Possibly we should follow ournegative intuition, avoiding it. Alternatively,it might be better to see what these new socialsciences have to offer. If they are going towork with surgery surgeons must become per-sonally involved to keep the sociologists hon-est and the legislators realistic.

But how can surgeons ever become involvedin such efforts? Surgeons are not economists.Critics might say that surgeons are economic-

ally privileged, but that does not make theminto economists! The study of economics isnot clinical surgery. As against this seemingbarrier we should reflect that immunologyand bacteriology were not clinical surgeryeither. Nor was antisepsis in its formativeyears. Transplantation now, as Lister's workof 100 years ago, demonstrated that ideasseemingly extrinsic to surgery could be ab-sorbed and brought to bear on surgical prob-lems if surgeons themselves were personallyinvolved. In some instances a partnershipbasis is the most effective involvement, work-ing with fellow-scientists from other fields.

Partnership of fields - the mating gameBoth in clinical and scientific work partner-ship between disciplines seems a viable solu-tion for the complexity of our modem world.This is true in the construction of hospitals, in

Clinical MatingsMATED PAIRS UNMATCHED SINGLES

Cardiac surgery-Cardiology Trauma/BurnsNeonatal surgery-Paediatrics FracturesNeurosurgery-Neurology GynaecologyGI surgery-Gastroenterology UrologyEndocrine surgery-Endocrinology ObstetricsCancer surgery-Oncology Plastic and reconstructive surgerySurgery of sepsis-Infectious disease Ophthalmology

Uncertain MatingsOrthopaedic surgery-(Rheumatology)Vascular surgery-(Circulatory medicine)Urology-(Nephrology)Transplantation-(Nephrology)Middle ear surgery-(Neurology)

Scientific MatingsBIOSCIENCE MATINGSLow flow states and shock-(Circulation; Enzymes; Endocrinology)Biomaterials-(Organic synthesis)Lithogenicity-(Collagen chemistry and solubility)Healing and bony union-(Collagen and calcification)Intravenous feeding-(Nutritional biochemistry)Protein synthesis; Wound healing-(Biophysics and molecular biology)Oncology-(Immunology)

SOCIAL SCIENCE COURTSHIPSSurgical care distribution-(Economics)Manpower policy-(Demography)Cost-benefit analysis-(Biostatistics)Public policy-(Politics)

The mating game-clinical and scientific partnerships

College and Faculty news 79

1939 as an Admiral, he faced tragedy and disasterwith couragc, determination, and Christian for-bearance. His wNork for the very church in which weare now assembled was dedicated; no man couldhave done more to promote the teaching of Our Lordand the welfare of the less fortunate in the environsof this church.

'In the sexventeenth century Sir Thomas Browne,physician at Norwich, wrote what he called his"dormitive". Cecil must have read this and ponderedover it as it was reproduced in an article written bya friencl of his and published in the British MedicalJournal of I965. Part of it runs thus:

"Sleepe is a death, 0 make me try,By sleeping what it is to die,And as gently lay my headUpon my grave as now my bed.How ere I rest, great God let meAwake again at last with Thee.And thus assur'd, behold I lie.Securely whether (to) wake or die.These are my drowsie dayes, in vaineNow I do wake to sleepe againe.0 come that houre, when I shall neverSleepe againe, but wake for ever".

'Cecil, dear friend, we thank you for your lifeand for your service to mankind'.

Meetings of CouncilAt a Quarterly Meeting of the Council held on iithOctober 1979 with the President, Sir Reginald Mur-ley KBE TD, in the Chair the death was reported withdeep regret of Professor F C Wilkinson CBE, pastDean and invited representative on Council of theFaculty of Dental Surgery.Dr James K Bowmaker was appointed Edridge-

Green Lecturer for I980 and Mr G P Arden wasappoinited Robert Jones Lecturer for I980.The Lady Cade Medal for 1978 was awarded to

Wing Commander M L Ayres FRCSEd and for 1979to Wing Commander C T Sharples MRCS. The HallettPrize was awarded to Dr Olusanya Adejuyigbe, ofthe University of Ibadan. Dr Christopher JulianPritchett, of Newcastle General Hospital, wasnominated for appointment by the Special Trusteesto the Prophit Studentship in Cancer Research.The following were appointed College Surgical

Tutors for five years in the first instance: Mr PKitchen FRCS (NE Metropolitan Region-Colehester)in succession to Mr M F Hunt and Mr K G CallumFRCS (Trent Region-Derby) in succession to MrD Thomas.Diplomas of Fellowship were awarded to Babiker

El Siddik El Bashir, Paul Joseph Glacken, andRobert James Lusby.

At an Ordinary Meeting of the Council held on 8thNovember I979 with the President, Sir ReginaldMurley KBF TD, in the Chair the re-election of LordBrock as Chairman and of Sir Hedley Atkins asVice-Chairman of the Board of Trustees of the Hun-terian Collection and the election of Lord Smith ofMarlow to the Board were noted.The following Regional Advisers on the Training

of Surgeons were appointed for three years in thefirst instance: Wessex-Mr J S Mousley FRCS insuccession to Mr T W Rowntree (with effect fromJully iq8o); Trent - Mr George Harrison FRCS insuccession to Mr K F Wood; SE Thames-Mr A PWyatt FRCS in succession to Professor Ian McColl.The following were appointed as Royal College of

Surgeons Surgical Tutors in the West MidlandsRegion for three years in the first instance: NorthBirmingham-Mr David Thomas; Burton-on-Trent-Mr Selwyn Glick.

Professor David Johnston FRCSEd FRCSGlas. was

elected to the Fellowship ad eundem.The Begley Prize was awarded to Dr Che Cheong

Li, of the Royal College of Surgeons in Ireland.A Diploma of Fellowship was granted to Mohamed

Hassan Al-Alawi.

Meeting of Board of Faculty ofAnaesthetistsAt a meeting of the Board of Faculty held on 17thOctober I979 Dr A Eleri Edwards and Dr K ACowan were appointed Deputy Regional EducationalAdvisers for Wales and the West Midlands Regionrespectively.Diplomas of Fellowship were granted in accord-

ance with the pass list (p. 83).The subject of the I980 Anniversary Forum will

be 'Anaesthesia for intraocular surgery'; of the I980Scientific Meeting 'Biotransformation of drugs re-lated to anaesthesia'; and of the 1980 Symposium'Mechanisms and control of pain'.

Certificates of Accreditation of higher training inanaesthesia were granted to the following holders ofthe FFARCS England:Yorkshire RHA Dr John Martin Clark, Dr Michael

Brian Gough, and Dr Rameshchand NarshiNongha Shah.

Trent RHA Dr Brian Reid Milne (CompletionI2/79) and Dr Thomas James lain Shaw (Com-pletion 12/79).

East Anglia RHA Dr Keith Ernest Jones.NW Thames RHA Dr Omar Mohamed MohamedMahmoud, Dr Mary Milne Meurer, Dr Thevi-garany Rajasekaran, Dr John Campbell Salt,Dr Noelle Christine Stallard, Dr Erika Stielow,and Dr David Zideman.

NE Thames RHA Dr Ronald Jack Cohen, Dr Mir-iam Kortokraks, Dr Edward Major, Dr NicholasIan Newton (Completion I2/79), Dr DharmalathUdulakumary S Pathirana (Completion 12/79),and Dr Devanabanda Ramachandra Reddy.

SE Thames RHA Dr Theresa Margaret Hunt andDr Richard Bruce Plummer.

SW Thames RHA Dr John Patrick Maynard (Com-pletion I I /79).

Wessex RHA Dr Gale Narbett (Completion 11/79).Oxford RHA Dr Andrew McLaren Spiers Black

and Dr William Arnold Lewin Rawlinson.

8o College and Faculty news

South Western RHA Dr Martin Brevitt Coates, DrGriselda Mary Cooper, Dr John Richard Davies,Dr Kenneth James Gill (C-ompletion 12/79), andDr Donald Francis Jones.

West Midlands RHA Dr Morad Nasr Abdel Messih.Mersey RHA Dr Carol Raymonde Gent.Wales Dr Howard Frankcom Davies.Aberdeen Dr Gillian Dalton Adey.Edinburgh Dr Walter Sneddon Nimmo and Dr DavidHenry Thomson Scott.

Glasgow Dr Gavin Nicholson Cleghom Kenny (Com-pletion 12/79) and Dr Peter John McKenzie(Completion 12/79).

The following Faculty Tutors were appointed:North Western RHA Dr R S Narang (Wigan), Dr J

Chari (Burnley), Dr S V Lees (Trafford), Dr R V AConsiglio (Preston), Dr G Phillips (Wythenshawe),Dr H L Goldwater (Crumpsall), Dr R G Mitchell(Stockport), Dr A J Sims (Bury), Dr V Brim(Ashton under Lyne), Dr A Hussain (Rochdale),Dr E A Shaw (Salford), Dr F N Campbell (Old-ham), Dr R N Lewis (Blackpool), Dr M E Dodson(Manchester), Dr M A Rucklidge (Lancaster),Dr J Glass (Bolton), Dr W A Wallbank (S Man-chester), and Dr D B Murray (Blackburn).

Wessex RHA Dr E Galizia (Bath), Dr D Andrew(West Dorset), Dr A Evans (East Dorset),Dr P W R Smethurst (Salisbury), Dr D M Jackson(Swindon), Dr J M Squire (Basingstoke), Dr K 0Harrison (Winchester), Dr J R A Moon (Ports-mouth), Dr P James (IOW), Dr J C Edwards(Southampton) (Primary), and Dr J M Manners(Southampton) (Final).

Trent RHA Dr J A Caunt (Sheffield) in successionto Dr C J Levy.

Oxford RHA Dr A j M Procter (Northampton) insuccession to Dr A M C Jennings.

SE Scotland Dr A H B Masson (South Lothian),Dr I T Davie (North Lothian), Dr ConstanceHowie (West Lothian), and Dr J R Kyles (EastFife).

Donations to the CollegeDuring the past few weeks the following generousdonations have been received:Three covenants or promised annual

payments totalling £88I oFive legacies totalling £66 586Gifts of £5oo and over totalling £25 500Gifts under £500 totalling £2022Special gift to endow Chair of Physics

in Surgery in two instalments, Dec.I980/8I, to total £6oo ooo

Deaths of Fellows, 1978In addition to those listed in previous issues thefollowing Fellow is known to have died during 1978:LAWES, William Eric FFARcs

Annual Meeting, 1g80The Annual Meeting of Fellows and Members for1980 will take place in Manchester on Thursdayand Friday 25th and 26th September. The pro-gramme will include symposia of interest to surgeons,dental surgeons, and anaesthetists and a SubscriptionDinner. It is hoped that the excellent communi-cations between Manchester and the rest of thecountry will enable a large number of Fellows andMembers of the College and Faculties to participate.Further details will be published in the Annals andcirculated to Fellows resident in the British Islesduring the spring.

Council visit to BirminghamOn Wednesday 27th February I980 the Presidentand members of the Council will be visiting Birming-ham to attend two College Lectures delivered bylocal surgeons and a College Dinner. The programmeis as follows:At the Medical School (Lecture Room 6)3.30 p.m. Hunterian Lecture by Professor D B

Clarke FRCS on 'Pulmonary embolectomyre-evaluated'

4-30 p.m. Tea5.oo p.m. Arris and Gale Lecture by Mr Bernard

Williams FRCS on 'Chronic herniation ofthe hindbrain'

At the University Staff House6.45 for 7 p.m. Subscription DinnerTickets, price L12 (inclusive of pre-dinner drinksand wine) may be obtained from the Assistant Sec-retary, Royal College of Surgeons, 35-43 Lincoln'sInn Fields, London WC2A 3PN not later than 14thFebruary. Guests will be welcome and the dress willbe lounge suits.

Council visit to BelfastFor the first time since I974 arrangements are beingmade for the President and members of the Councilto make a formal visit to Belfast on Friday 2IStMarch x980, when Hunterian Lectures will be de-livered by two surgeons from Northem Ireland. Pro-fessor Norman Hughes OBE FRcs will speak on'Plastic surgery since 1945' and Professor G WJohnston FRCS on 'Bleeding oesophageal varices-management of shunt rejects'. The venue and timesof the lectures may be ascertained from the AssistantSecretary of the College.

College EveningA College Evening (advanced discussion group forFellows of the College) on 'Gallstones' will be heldon Monday 4th February 1980 at 6 p.m. under thechairmanship of Professor Harold Ellis DM Mch FRCS.The programme will be as follows:

6.oo The choledochoscope - Mr Brian SterryAshby (Southend General Hospital)

6.20 The removal of retained stones in the com-mon bile duct-Mr C W Venables (RoyalVictoria Infirmary, Newcastle upon Tyne)

College and Faculty news 8I

6.40 Operative cholangiography - Professor L PLe Quesne (Middlesex Hospital, London)

7.oo Gallstone formation and medical dissolution-Dr T C Northfield (St James's Hospital,Balham)

7.30 Buffet supper8.30-9.3o DiscussionFee of £7.50 includes buffet supper. Cash bar

available. Applications for tickets (accompanied bycheque) to the Surgical Training Office before Wed-nesday 3oth January 1980.

Faculty of Dental Surgery: FacultyEveningThe i3th Faculty Evening of the Board of Facultyof Dental Surgery will be held at the College onFriday ist February I980 at 6 p.m. under the chair-manship of Professor G R Seward. The subject willbe 'Dental radiography' and the programme is asfollows:

6.oo Rotational tomographic machines and ro-tational tomography - Professor D Smith(King's College Hospital, London)

6.30 The right view for the case in hand-Mr BO'Riordan (Plastic and Jaw Injuries Centre,Mount Vemon Hospital)

7.00 Seeing and believing-Professor G R Seward(The London Hospital Medical CollegeDental School)

7.30 Light refreshments8.oo-g.oo General discussionA maximum of 130 applications can be accepted

for the meeting, which is open to all dental andmedical practitioners. Admission fee is £4.25, whichincludes light refreshments.

Applications, which should be accompanied bycheques made payable to 'Faculty of Dental Surgery',will be dealt with in strict rotation and will beaccepted up to Friday 25th January I1980 providedtickets are still available. They should be sent tothe Administrative Assistant, Faculty of Dental Sur-gery, Royal College of Surgeons of England, 35-43Lincoln's Inn Fields, London WC2A 3PN.

Faculty ofDental Surgery: Clinical StudyDayA Clinical Study Day (formerly Scientific Meeting)of the Board of Faculty of Dental Surgery will beheld at the College on Friday I4th March 1980under the chairmanship of Mr R T Broadway(Royal Hampshire County Hospital, Winchester).The subject will be 'The problem of impacted andunerupted teeth' and the programme is as follows:

9.45-10.15 a.m. Registration and coffeeWelcome by the Dean, Professor K PLiddelow CBE

IO.I5 a.m. The mechanism of eruption Mr B K BBerkovitz (Medical School, Bristol)

10.45 a.m. Diagnosis and treatment planning withreference to unerupted incisors andcanines-Professor J Mills (EastmanDental Hospital, London)

I I.30-I I.45 a.m. DiscussionI 1.45 a.m. Instrumentation and surgical technique

for the removal of supernumerary teethand exposure of unerupted incisors andcanines-Mr J Towers (Royal DentalHospital, London)

I 2.30-12.45 p.m. DiscussionI 2.45 p.m. Lunch2.00 p.m. Orthodontic appliances for reposition-

ing misplaced incisors and canines-Mr C Stephens (Bristol Dental Hos-pital)

2.45-3.00 p.m. Discussion3.00 p.m. Tea3.15 p.m. The problem of the third molar-Dr

J Rayne (Radcliffe Infirmary, Oxford)4.00-4.30 p.m. DiscussionThe Clinical Study Day is open to all dental and

medical practitioners.The admission fee which will be payable on the

day is £5. Those requiring coffee, lunch, and tea,however, should apply in writing not later than Fri-day 7th March to the Administrative Assistant,Faculty of Dental Surgery, at the College enclosinga cheque made payable to 'Faculty of Dental Sur-gery' for £ Io, which will cover both the cost ofrefreshments and the admission fee. A coffee barwill be available for the purchase of morning coffeeby those without catering tickets.

College DinnersThe College Dinner on Wednesday qth Jarnuaryiq8o will be followed by an address by Sir FrederickHoare Bt, the subject being 'The romance of privatebanking'.The College Dinner on Wednesday 12th March

I980 will be followed by an address by His EminenceCardinal Basil Hume.

Applications for tickets for the Dinners, price Li Tincluding pre-dinner drinks and wines at table,should reach the Catering Supervisor at the Collegenot later than io days before the date of the Dinner.

AO/ASIF Course, Summer 1980A three-day intensive course on fracture treatmentwith special reference to AO/ASIF techniques willbe held at the College on 3rd-5th July 1980. Itwill include lectures, practical exercises, and dis-cussions and will be similar in all respects to thecourses held at the College in I978 and 1979. Thelecturers will include surgeons from Switzerland andGreat Britain.

Attendance is limited to 96. The closing date forapplications is 3oth April I980. Further details willbe announced shortly.

Jacksonian Prize, x980The Council invite submissions for the I980 awardof the Jacksonian Prize, the value of which is to beincreased with effect from the I980 award to £250;the prizeman also receives a bronze medal.The regulations have been amended so that dis-

sertations, which must be related to a practical sub-

82 College and Faculty news

ject in surgery, are no longer to be submitted anony-mously; the maximum length has been reduced from75 000 to 35 000 words.The Prize is open to Fellows and Members of the

College, Fellows in Dental Surgery, and Fellows inthe Faculty of Anaesthetists. Intending candidatesshould obtain further information from the Sec-retary of the College, who must be notified of thesubject proposed not less than six calendar monthsbefore the closing date for receipt of dissertations,which is 3Ist December 1980.A note about this distinguished award appeared

in the Annals for November 1976 (p. 496). Theprize-winning essays are permanently displayed inthe College Library.

Travenol Travelling FellowshipThe above Fellowship, provided by Travenol Labora-tories Ltd, will be awarded annually under the aus-pices of the Royal College of Surgeons of Englandand the Royal College of Physicians of London forstudy or research in the field of nutrition in relationto inpatient care. Up to £Isoo is available for oneor more awards.

Applicants, who must be medically qualified,should apply to the Secretary of the Royal Collegeof Surgeons of England, 35-43 Lincoln's Inn Fields.London WC2A 3PN, enclosing (i) a statement oftheir proposed study or research; (2) a letter ofsupport from the head of the department in whichthey are working; (3) a letter of support from the

department they propose to visit; (4) a statementof the expenses they expect to incur and of otherresources available to them.

Applications for the first award, to be made inMarch I980, must be received by 3Ist January I980.

H J Windsor Prize, I980Applications are invited for the fourth H j WindsorPrize established in 1976 by the late Dr H J Wind-sor KSG CBE FRCS, of Brisbane, Australia.

Preference will be given on this occasion to ayoung Fellow of the Royal College of Surgeons ofEngland proposing to undertake a research or edu-cational project in Australia. Applications shouldreach the Secretary of the College by 3Ist MarchI980 and should include a brief curriculum vitae,an outline of the research or educational projectenvisaged, and supporting letters from a consultantin Britain and the person in Australia under whomthe work is to be carried out.The value of the prize is £250, to which it may

be possible to add a supplementary travel grant.

Cartwright Prize, 1976-80Intending candidates for the Cartwright Prize arereminded that submissions for the current quin-quennium must reach the College not later than 31stDecember I980. The subject is 'The management ofcongenital and acquired defects of the jaws'. Theregulations may be obtained from the Secretary ofthe College.

HONORARY MEDALMr George QvistAt the Quarterly Meeting of Council on i i thOctober I979 the Honorary Medal of the Collegewas presented to Mr George Qvist FRCS, to whomit had been awarded 'for his devotion to the Collegeand its Hunterian ideals and for his life-long concernfor patient-care and surgical education'.

In presenting the Medal to Mr Qvist, the Presi-dent expressed the pleasure of members of Council

in making the award and their appreciation of allthat Mr Qvist had done for the College and forsurgical trainees. He referred also to his being 'agreat Hunterian' who had served as President of theHunterian Society and had recently delivered amagnificent Hunterian Oration in the College. MrQvist retired from the Council in July 1979 havingcompleted the maximum period of 12 years' service.

DEATHS OF FELLOWS, 1979The following is a list of those Fellows who areknown to have died during 1979:ADDISON, John Raymond FRCSARMITAGE, George TD FRCSASTON, John Neville FRCSATTENBOROUGH, Christopher George FRCSBAILEY, Edward Townley FRCSBARRETT, Norman Rupert CBE FRCS (Past Mem-

ber of Council and of the Court of Examiners)BARRY, Claude Thomas FFARCSBENNETT, Louis Amos FRCSBERESFORD, Gerald Waddington OBE FRCSBERRY, Lynton McHardie FRCSBIRD, John Daniel Henry FRCSBRUCE, Ian Sutherst FFARCSBULLEN, Horace Braithwaite FRCSCAVE, John Neville FFARCS

CRAWSHAW, George Reginald FRCSCULLEN, Stuart Chester FFARCSCURRIE, David William FRCSDAVID, John Brooke FRCSDAVIES, John Arthur Lloyd FRCSDENNIS, Daphne Vincent FFARCSDUGGAN. Norman FRcsEASON, Gareth Aimers FFARCSELGOOD. John FRCSEVERS, Henry FRCSFARROW, Raymond Cragg FRCSFERGUSON, William John FRCSFERGUSSON, John Douglas FRCSFOLEY, Walter Barham OBE FRCSGILLIES, Ian David Shier FFARCSGOODWIN, Bernard Grainger FRCSGREENWOOD, Eric John FRCS

College and Faculty news 83

GREGORY, Ian Langdale FRCSGRIFFIN, Charles Robert FRCSHARDY, Ernest Alphonse DSRCSHAYTON-WILLIAMS, Desmond Stanley FDSRCSHOLT, Robert Lord OBE TD FRCS (Past Member of

the Court of Examiners)HOYTE, Stanley FRGSHUFFAM, Ralph E Hon FDSRCSJOHN, Howell Thomas DFC FRCSJOHNSON, Gordon Trevor FFARCSKUPFER, Eric Martin FRCSLITTLE, Neil Campbell FRCSLOEWENTHAL, Sir John FRCSMcKAY, Alexander Miller FFARCSMANTLE, John Allen FRCSMARGAND, Paul Marcus FDSRCSMARKBY, Claude Edward Puckle FRCSMASON-WALSHAW, Gordon FFARCSMAUDE, Alexander Robert FFARCSMAY, Sir Cyril KBE CB MC FRCSMOORE, Archie Murrell Acheson FRCS FDSRCSMOORE, Jocelyn Adelaide Medway FRCSMOUNTAIN, John Cameron FRCS (Surgical Tutor)MULLINS, Sean Robert Charles FFARCSMYNORS, John Malbon FRCSNUBOER, Johannes F Hon FRCSPERKINS, George MC FRCSPITT, George Heriot FRCSPRITCHARD, John Joseph FRCS

RASPALL, Dionisio Monton FFARCSREDDY, Pannala Padma FRCSROBERTSON, Donald Patrick FRCSROCHFORD, James Douglas FFARCSROSBOROUGH, Desmond FRCSROW, Allan Warren Linford FRCSROWBOTHAM, Edgar Stanley Hon FFARCS (PastMember of the Board of Faculty of Anaesthetists)

RUDD, Michael Sydnev Kaliel FRCSSAMANTA, Birinchi Prasad FRCSSEN, Santosh Kumar FRCSSHARVILL, Kenneth Gordon OBE FDSRCSSHETH, Popatlal Premchand FRCSSMITH, Colin Landon FRCSSPROTT, Norman Armitage FRCSSUNDERLAND, Arthur FFARCSTHOMAS, Horatio Orishejolomi CBE FRCSTOWNROW, Vincent FRCSUPJOHN, Sir William George Dismore FRCSVLASTO, Michael Ernest Theodore D FRCSWAKELEY, Sir Cecil FRCS (Past President of the

College)WALKER, Dennis Henry George FRCSWALKER, Frederick Aubrey FDSRCSWATT, James Kennedy FRCSWHITER, Frank Shirley Stuart OBE FDSRCSWILKINSON, Frank Clare CBE FRCS FDSRCS (PastMember of Council and Dean of the Facultyof Dental Surgery)

REPORT OF THE BOARD OF EXAMINERS FOR THE FELLOWSHIPIN THE FACULTY OF ANAESTHETISTS, 27th July IQ79At the recent Final Examination for the Fellowshipin the Faculty of Anaesthetists 338 candidates pre-sented themselves for the Examination, 120 of whomacquitted themselves satisfactorily.The following are the names of the iI8 candidates

who, having complied with the regulations, areentitled to the Diploma of Fellow in the Faculty ofAnaesthetists:§WALKER, June Abercrombie MRCS (Royal Free).MAcLEOD, Kenneth Russell MRCS (St Mary's).HUNT, Robert Charles MRCS (Guy's).FLETCHER, Ian Ronald MRCS (Royal Free).PALMER, John Huw Hanbury MRCS (Royal Free).LAMB, Christopher John MRCS (Guy's).SMYTH, Patrick Robert Francis MRCS (St Bart's).§HACKETT, Gillian Heather MRCS (St Bart's).BAKER, David James MRCS (St Bart's).INGLIS, Stuart Thomas MRCS (KCH).BOTHA, Roger Adr6 MRGS (Guy's).§BROWN, Janet Filmer MRCS (Westminster).§PETTS, Helen Victoria MRCS (St Mary's).SWEET, Peter Thomas MRCS (Charing Cross).GARRETT, Christopher Paul Orlebar MRCS(St Mary's).

§VIJAYAN SANNASI, Ramani MRCS (Osmania).KHAN, Faiz Mohammad (Dacca).§DEULKAR, Usha Vithal (Poona).EL-MIKATTI, Nabil (Cairo).§HARRISON, Rosaline Ann (Manchester).METIAS, Victor Fayez (Cairo).REHOR, Stanislav (Prague).

§DAYA, Vera Hilda (Wales).§EL-SISSI, Wafaa Aly Ahmed (Cairo).GUIRGUIS, Maher Ibrahim (Cairo).SUDHAMAN, Devasirvadam Arul (Mysore).AINLEY, Philip Roger (Manchester).KADIWAL, Gulam Hadi (Indore).§ALBIN-GOROSZENIUK, Malgorzata, (Warsaw).DE SILVA, Gamini Ernest (Sri Lanka).§EVANS, Marianne Lawrence (Wales).GHORIS, Magdi William (Ain Shams).JOHNSON, Thomas Michael (Galway).REITHMULLER, Robert John (Queensland).§LONIE, Diana Susan (Newcastle).SCOTT, Charles Cameron (Aberdeen).UPPINGTON, Jeffrey (The London).WARUSAWITHARANA, Punyasiri (Sri Lanka).§BENTAMIN, Usha Bharathi (Madras).§DE SILVA, Maria Fatima (Bangalore).GAUTAM, Ramji (Kerala).GORDON, Gavin (Glasgow).HUGHES, Timothy James (Birmingham).KEMPTHORNE, Christopher John (Otago).KNAPPETT, Peter Alister (Leeds).KRISHNAN NAYAR, Kinatinkara (Madras).MAUGHAN-BROWN, Geoffrey Brian(Cape Town).

§RANT, Swaroop (Osmania).§ROSS, Sheena Margaret (Edinburgh).§GILLESPIE, Frances Norah (Dundee).§JONES, Glenys Ceirog (UCH).JUDELMAN, Julian Joe (Witwatersrand).

84 College and Faculty news

KERR, William Jack (Edinburgh).KIPLING, Roger Maitland (St Bart's).LAKE, Alfred Philip James (Middlesex).§MACKAY, Louisa Jane (Aberdeen).MILLIGAN, Nicholas Stephen (Bristol).OGDEN, Philip Neil (Sheffield).POUNDER, Derek (Dundee).READ, David Henry (Bristol).ROSS, John Alexander Strachan (Aberdeen).§STANFORD, Margaret Elspeth (Cape Town).STONHAM, Joseph (The London).THOMAS, William Alfred (Sheffield).VENKATARAMAN, Pattabiraman (Madras).WOODSFORD, Paul Vincent (St Mary's).ACHARYA, Punaryur Arun (Mysore).BORLAND, Colin William (Glasgow).CLARK, Gordon (The London).DICKENSON, John Edward (Belfast).§DUNCAN, Barbara Bridget Alison (Middlesex).§GAST, Pauline Heather (Belfast).HALES, Peter Alan (Sydney).HINTON, William (The London).JAMES, Ian Gordon (Manchester).MALINS, Andrew Francis (Birmingham).MANKIN, Peter Philip (Wales).§RUTLEDGE, Mary Lynda Campbell (Aberdeen).§SUTCLIFFE, Anne Josephine (Birmingham).STEVENS, John Edwin (St George's).VERNIQUET, Andrew James Wilfred (Bristol).WARD, Stephen (Manchester).WELCHEW, Edward Amin (Bristol).ALLISON, Charles William (Dundee).ASHFORD, Peter (Manchester).§ASTLEY, Beverley Anne (UCH).

BICKFORD SMITH, Philip John (Leeds).§BROSH, Suzanne Jane (Middlesex).CASEY, William Francis (Liverpool).CHAMBERS, William Alastair (Aberdeen).COHEN, Andrew Timothy (Leeds).DIGGER, Timothy John (Sheffield).DODDS, Christopher Peter (New South Wales).ELLIS, Robert (Glasgow).GOODMAN, Neville Walter (Oxford).§GREENWELL, Stephanie Kathleen (Newcastle).HAMMOND, John Edwin (Royal Free).HASBURY, Christopher Raymond (Birmingham).HUNSLEY, John Edmund (Sheffield).JAMES, Wayne (Wales).LENNON, Colin Hugh (W Australia).§McQUEEN, Marise-Anne Pamela (Glasgow).MARSH, Richard Henry Kendal (Guy's).§MURRAY, Angela (West Indies).§O'SULLIVAN, Geraldine Mary (NUI).PEREIRA, Nigel Hugh (Sheffield)PHIPPS, Jonathan Andrew (KCH).§PITCHFORD, Elizabeth Ann (Birmingham).§PUTNAM, Elizabeth Ann (Birmingham).§RALLEY. Fiona Elizabeth (Edinburgh).SHAW, Timothy Colin (Oxford).SHERRIFF, Joseph John Herbert (Manchester).§SPEIDEL KNIGHT, Anne Brigitte (Mont pellier).SUE-CHU, Malcolm (Aberdeen).THOMPSON, James Francis Webster (St Bart's).TODD, James Gordon (Glasgow).WEST, David Martin (Liverpool).WOERLEE, Gerald Martin (W Australia).

§ Woman.

COLLEGE DIARY

JanuaryTuesday iCOLLEGE CLOSED

Wednesday 2Basic Medical Sciences lectures and demonstrations

for anaesthetists beginThursday 3

Primary FDS examination beginsFriday 4

Basic Medical Sciences lectures and demonstrationsend

Saturday 5Annual Anaesthetics Examinerships advertised

Monday 7DIH examination begins

Wednesday 9Ceremony of Presentation of Diplomates (I1.30

a.m.)College Dinner (7.30 p.m.)

Thursday IoQuarterly Council (2 p.m.)

Saturday 12Names of candidates for election to the Board of

Faculty of Anaesthetists announced

Tuesday 15Date of election of Fellows in Dental Surgery

to the Board of Faculty announcedLast day for nomination of Licentiates in Dental

Surgery to the Board of FacultyWednesday r6

Joint Committee on Higher Training in Anaes-thesia.

Thursday 17Final FFA examination begins

Monday 21Final LDS (Part I) examination begins

Tuesday 22Voting papers issued for election of Fellows in

the Faculty to the Board of Faculty of An-aesthetists

Wednesday 237Hunterian Trustees (2.30 p.m.)

Friday 25Board of Faculty of Dental Surgery (2.15 p.m.)

Monday 28Arnott Demonstration-Dr F K Adzaku-The

morphological and functional characteristics ofnerve endings within the subglottic mucosa ofthe larynx (4.30 p.m.)

Tuesday 29Final LDS (Part III) examination begins

College and Faculty news 85

Thursday 31Otolaryngology Lecture-Mr Peter Jackson-Tin-

nitus: an enigma with variations (5.30 p.m.)Primary Fellowship examination begins

FebruaryFriday i

Faculty of Dental Surgery Evening-Dental radio-graphy (6 p.m.) (see p. 8i)

Monday 4College Evening-Gallstones (6 p.m.) (see p. 8o)Last date for application for Annual Anaesthetics

ExaminershipsTuesday 5

Last day for nomination of candidates for electionas Fellows in Dental Surgery to the Board ofFaculty

Monday iiD Orth (Part I) examination begins

Monday i8Residential course in General, Oral, and Dental

Surgery beginsDMRD examination begins

Tuesday I9D Orth (Part II) examination begins

Friday 22Victor Bonney Prize Lecture - Professor C NHudson-Ovarian cancer: a gynaecological dis-order? (5 p.m.) (at Royal College of Obstetri-cians and Gynaecologists)

Monday 25 and Tuesday 26Basic Medical Sciences lectures and demonstrations

for anaesthetistsWednesday 27

*Hunterian Lecture-Professor D B Clarke-Pul-monary embolectomy re-evaluated (3.30 p.m.)(at Birmingham Medical School)

*Arris and Gale Lecture-Mr Bernard Williams--Chronic herniation of the hindbrain (5 p.m.)(at Birmingham Medical School)

*College Subscription Dinner (7 p.m.) (at Birming-ham University)

*See p. 8oFriday 29DCH examination begins

MarchMonday 3

First Membership, Primary FFA, and DMRTexaminations begin

Wednesday 5Election of Fellows in the Faculty to the Board of

Faculty of AnaesthetistsFirst Membership examination begins

Thursday 6Otolaryngology Lecture-Professor P M Haggard-New perspectives in assessment and re-mediation of sensory hearing loss (5.30 p.m.)

Saturday 8Residential course in General, Oral, and Dental

Surgery ends

Wednesday I2Hunterian Lecture-Professor B N Brooke-Pro-

gress and frustration in inflammatory boweldisease (5 p.m.)

College Dinner (7.30 p.m.)

Thursday I3Ordinary Council (2 p.m.)Hunterian Lecture-Professor J Barton Booth-

Meniiere's disease: the selection and assessmentof patients for surgery using electrocochleography(5 p.m-)

Voting papers issued for election of Fellows inDental Surgery to the Board of Faculty

Friday 14Faculty of Dental Surgery Clinical Study Day

(see p. 8 i)

Saturday I5Surgery course begins

Monday I7Last day for application for Annual Examinerships

Wednesday I9FACULTY OF ANAESTHETISTS ANNIVER-SARY

Board of Faculty of Anaesthetists (9.30 a.m.)Anniversary Forum - Anaesthesia for intraocular

surgery (ii a.m.)Joseph Clover Lecture-Professor D G McDowall-The anaesthetist and the brain (3 p.m.)

Annual Meeting (4 p.m.)Anniversary Dinner (7.15 for 7.45 p.m.)

Thursday 20Hunterian Lecture-Professor J W Goodfellow-A new description of the mechanics of thehuman knee joint (5 p.m.)

Friday 2I*Hunterian Lecture - Professor Norman Hughes

OBE-Plastic surgery since 1945*Hunterian Lecture-Professor G W Johnston-

Bleeding oesophageal varices: management ofshunt rejects

*To be delivered in Belfast-see p. 8o

Tuesday 25Date of Council Election announced

Wednesday 26Hunterian Lecture-Professor M Bates-The sur-

gical treatment of bronchial carcinoma (5 p.m.)

Saturday 29Vacancies on the Court of Examiners advertised

Monday 3IFinal LDS (Part II) examination begins