ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND Editor: SIR CECIL WAKELEY, BT., K.B.E., C.B., LL.D., M.Ch., D.SC., F.R.C.S., F.R.S.E., F.F.R., F.D.S.R.C.S. VOLUME 34 JANUARY-JUNE 1964 Published by THE ROYAL COLLEGE OF SURGEONS OF ENGLAND LINCOLN'S INN FIELDS LONDON, W.C.2 CONTENTS VOLUME 34 . JANUARY-JUNE 1964 JANUARY 1964 Page THE TRAINING OF A SURGEON .. .. Miss J. Dobson 1 LAMING EVANS RESEARCH FUND .. .. 36 SURGICAL ASPECTS OF ANKYLOSING SPONDYLITIS W. A. Law 37 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 49 THE ODONTOLOGICAL MUSEUM .. .. A. E. W. Miles 50 HEROES OF THE EXAMINATION BOOKS: 7. JOHN HARVEY.. 58 SIR JAMES PAGET AND THE MUSEUM OF PATHOLOGY L. W. Proger 59 INSTITUTE OF BASIC MEDICAL SCIENCES .. 61 THE CANADIAN MACE.. .. .. .. 63 PROCEEDINGS OF THE COUNCIL IN DECEMBER 64 ANNUAL GENERAL MEETING AND DIPLOMA GRANTING CEREMONY 66 PILOT SCHEME FOR SURGICAL TUTORS .. 70 GRANT OF FELLOWSHIP DIPLOMAS .. .. 73 DONATIONS 75 DIARY FOR JANUARY .. .. .. .. 76 DIARY FOR FEBRUARY.. .. .. .. .. 76 FEBRUARY 1964 THE DEBT OF ANAESTHESIA TO PHARMACY A. H. Galley 77 THE AETIOLOGY OF DIVERTICULOSIS OF THE COLON WITH SPECIAL REFERENCE TO THE ACTION OF CERTAIN DRUGS ON THE BEHAVIOUR OF THE COLON .. .. .. N. S. Painter 98 HONOURS CONFERRED ON FELLOWS AND MEMBERS 119 THE RELATIONSHIP OF VARIATIONS IN THE SIZE AND INCLINATION OF THE CALCANEUM TO THE SHAPE AND FUNCTION OF THE WHOLE FOOT .. .. .. .. .. F. C. Dwyer 120 PROCEEDINGS OF THE COUNCIL IN JANUARY .. 137 ADVICE FOR STONE IN THE BLADDER, A.D. 1637 William Davidson, M.D. 139 DIARY FOR FEBRUARY .. 142 DIARY FOR MARCH .. 142 VOLUME 34 JANUARY-JUNE 1964 MARCH 1964 Page IDIOPATHIC NECROSIS OF THE FEMORAL HEAD IN ADULTS R. Merle d'Aubigne 143 RADICAL SURGERY FOLLOWING RADIATION TREATMENT FOR CERVICAL CARCINOMA .. .. .. J. Stallworthy 161 GRANT OF DIPLOMAS TO FELLOWS IN DENTAL SURGERY .. .. 178 DIET AND DENTAL DISEASE IN GHANA . A. B. MacGregor 179 THE DIAGNOSIS AND LIGATION OF INCOMPETENT ANKLE PERFORATING VEINS .. .. .. .. H. Dodd 186 HEROES OF THE EXAMINATION BOOKS: 8. SIR THOMAS PASLEY .. 196 WILLIAM CLIFT TO PHILIP SYNG PHYSICK .. .. J. Dobson 197 DONATIONS .. .. .. .. .. .. .. .. 203 GRANT OF DIPLOMAS TO FELLOWS IN THE FACULTY OF ANAESTHETISTS .. .. .. .. .. .. 204 IN MEMORIAM: T. B. LAYTON .. .. .. .. 205 BOOKS ADDED TO THE LIBRARY: JULY-DECEMBER 1963 . .. 207 PROCEEDINGS OF THE COUNCIL IN FEBRUARY .. .. .. 212 DIARY FOR MARCH .. .. .. .. .. .. .. 214 DIARY FOR APRIL .. .. .. .. 214 DIARY FOR MAY .. .. .. .. .. 216 APRIL 1964 THE DESIGN OF OPERATING THEATRE SUITES (REPORT OF A COMMITTEE OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND) 217 VOLUME 34 JANUARY-JUNE 1964 MAY 1964 Page THE ROLE OF FIBRINOLYSIS IN THE TREATMENT OF ARTERIAL THROMBOSIS: EXPERIMENTAL AND CLINICAL ASPECTS M. J. Tsapogas 293 PHYSIOLOGICAL CONSIDERATIONS IN THE SURGERY OF PEPTIC ULCER .. .. .. .. .. .. .. I. Orr 314 ELECTION TO COUNCIL .. .. .. 335 ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA .. 336 VALEDICTORY .. .. .. .. .. .. C. Wells 342 APPOINTMENT, OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 353 PROCEEDINGS OF THE COUNCIL IN MARCH .. .. .. 354 PROCEEDINGS OF THE COUNCIL IN APRIL .. .. .. 355 DIARY FOR MAY .. .. 358 DIARY FOR JUNE .. .. .. .. .. .. .. 358 JUNE 1964 FREDERIC WOOD JONES AND THE HUNTERIAN TRADITION Sir Cecil Wakeley 359 ROYAL PHOTOGRAPHIC SOCIETY .. .. .. 369 LEUCOPLAKIA BUCCALIS .. .. .. B. E. D. Cooke 370 THE COLLEGE TIE .. .. .. .. .. 383 THE USE OF A DYE DILUTION TECHNIQUE IN STUDIES OF BLOOD VOLUME AND CARDIAC OUTPUT DURING ANAESTHESIA AND SURGERY .. .. .. .. .. .. J. P. Payne 384 APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS 399 INTER-DEPARTMENTAL COLLOQUIUM: THE FUNCTION OF MUCUS Sir Victor Negus 400 ADMISSION TO THE HONORARY FELLOWSHIP AND TO THE COURT OF PATRONS .. .. .. .. .. .. 404 THE LISTER FESTIVAL .. .. .. .. .. 409 IN MEMORIAM: PROFESSOR G. PAYLING WRIGHT .. 414 PROCEEDINGS OF THE COUNCIL IN MAY .. .. 416 DONATIONS .. .. .. .. .. .. 418 BACK NUMBERS OF THE ANNALS .. .. .. 419 DIARY FOR JUNE .. .. .. .. .. 419 DIARY FOR JULY .. .. .. .. .. 419 INDEX TO VOLUME 34.. .. .. .. .. 420 SURGICAL ASPECTS OF ANKYLOSING SPONDYLITIS ficed to some extent. This may be significant if the patient has to use crutches or sticks. There is still a great deal for us to learn in this problem of ankylosing spondylitis, both as regards aetiology and treatment. Some success has been achieved in rendering the lives of these unfortunate patients more tolerable by earlier, and more widespread surgery and better diagnosis is doing a great deal to prevent severe and disabling deformities; but all too frequently the demand for difficult reconstructive surgery is apparent, and can be dramatically well worth while. In conclusion I would like to thank the many colleagues who have so kindly helped me to build up this series of cases, and I would like to pay a tribute to the skill of the anaesthetists, nursing and physiotherapy staffs in their handling of these rigidly deformed patients. REFERENCES BECHTEREW, W. von (1893) Neutrol. Cenitralbl. 12, 426. FOCK, C. (1861) Arch. klin. Chir. 1, 172. GIRDLESTONE, G. R. (1928) Robert Jotnes Birthdtayv Volume. London, Oxford Univ. Press. LA CHAPELLE, E. H. (I1946)J. Bolie Jt. SUng. 28, 851. LAW, W. A. (1959) J. Bonte Jt. Sirg. 41B, 270. (1962) J. Bonie Jt. Suirg. 44A, 1199. (1962) J. Boiie .t. Sirg. 44A, 1497. MARIE, P. (1898) Rei. Mdecine, 18, 285. MASON, R. M. (1963) Personal communicationi. ROMANUS, R. (1953) Acta nmedl. scandc. SUPP. 280. SHIERS, L. G. P. (1954) J. Bolne Jt. Slurg. 36B, 553. SMITH-PETERSEN, M. N. (1939) J. Bonie Jt. Surg. 21, 269. - LARSON, C. B., and AUFRANC, 0. E. (1945) J. Bonie Jt. Suirg. 27, 1. Voss, C. (1955) Tagutng cltseh. Ges. Orthopdclie, Hamburg. WATSON-JONES, R. (1963) Personal communication. APPOINTMENT OF FELLOWS AND MEMBERS TO CONSULTANT POSTS K. R. ALIMCHANDANI, F.R.C.S. Honorary Assistant Obstetrician and Gynaecologist, St. George's Hospital and National Hospital, Bombay. E. DAYAN, F.R.C.S. Consultant Surgeon, South Shields Group of Hospitals. 49 THE CANADIAN MACE "The Staff is plain, with two bosses, the lower of which bears an inscription recording the Donors. The ' Heel', which represents the last survival of the old fighting weapon, is decorated on the upper surface with alternating Maple leaves and Fleurs de lys; on the lower part the Caduceus and Serpent emblem is repeated. 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~14 Fig. 2. Her Majesty Queen Elizabeth The Queen Mother being shown the Mace by Sir Russell Brock, President, during her visit to the College on 3rd December 1963. "The Mace is made of silver and has a heavy gold deposit: its weight is 135 troy ozs. and its length 3 ft. 8 ins." Figure 2 shows Her Majesty Queen Elizabeth The Queen Mother inspecting the Mace before its despatch to Canada. PROCEEDINGS OF THE COUNCIL IN DECEMBER AT AN EXTRAORDINARY Meeting of the Council on 11th December 1963, with Sir Russell Brock, President, in the Chair, Diplomas of Fellowship were granted to the candidates named in the enclosed Report, and Diplomas were presented (see full report on page 66). 64 PROCEEDINGS OF THE COUNCIL IN DECEMBER At a Meeting of the Council on 12th December 1963, with Sir Russell Brock, President, in the Chair, the Hallett Prize was presented to Dr. W. G. Prout, M.B., B.S., of St. Thomas's Hospital Medical School. The Begley Prize was presented to Dr. J. G. Purdell-Lewis, M.R.C.S., of the Westminster Hospital Medical College. The award of the Evelyn Sprawson Prize to J. D. Gullan-Whur and R. P. Juniper, both of Guy's Hospital Dental School, was noted. The following were appointed Surgical Tutors in the Regions under the Nuffield Provincial Hospitals Trust Pilot Scheme: N.E. Metropolitan: Mr. A. G. Dingley, F.R.C.S. (Southend) Leeds: Mr. J. Clapham Coates, F.R.C.S. (Hull and East Riding) Mr. J. H. Shoesmith, F.R.C.S. (Leeds) The appointment of Dr. J. W. Thompson, M.B., B.S. (Senior Lecturer in the Department of Pharmacology), to the Chair of Pharmacology in the University of Newcastle, was noted. Mr. H. G. E. Arthure, F.R.C.S., was re-appointed as representative on the Central Midwives Board. Mr. L. E. C. Norbury, O.B.E., F.R.C.S., was re-appointed as representa- tive on the Council of the Queen's Institute of District Nursing. Sir Stanford Cade, K.B.E., C.B., F.R.C.S., was re-appointed as examiner in General Surgery for the Fellowship of the Faculty of Radiologists. The Council concurred with the recommendation of the Working Party on Accident Prevention and Life-Saving for the establishment of a permanent medical commission. The Council nominated for the award of a Prophit Studentship Mr. Colin John Smith, L.D.S.R.C.S., B.D.S., for work on cancer research in the Department of Dental Science. One Licence in Dental Surgery was granted. The following hospitals were recognized under paragraph 23 of the Fellowship regulations: POSTS RECOGNIZED (All 12 months unless otherwise stated) HOSPITALS General Casualty Unspecified Surgery (all 6 months) *WEST BROMWICH and District S.H.O. (Gen. & Cas.) General Hospital now recognized (change in duties) S.H.O. (6 months) S.H.O. *INVERNESS-Royal Northern Untder para. 23 (c) Infirmary Regr. (E.N.T.) H.S. (E.N.T.) *COLCHESTER-Essex County S.H.O. Hospital and Severalls Mental Hospital Surgical Unit LUSAKA-Central Hospital Senior H.S. Senior H.S. Under para. 23 (b) Junior R.M.O. (Cas.) Senior H.S. (6 months) (Ophth.) *Other posts have previously been recognized at these hospitals. 65 PROCEEDINGS OF THE COUNCIL IN DECEMBER After the meeting a Hunterian Lecture was delivered by Professor J. Stallworthy on " Radical surgery following radiation treatment for cer- vical carcinoma". ANNUAL GENERAL MEETING AND DIPLOMA GRANTING CEREMONY THE ANNUAL MEETING of Fellows and Members was held in the College on Wednesday, I1 th December 1963.