Abstract: | Surgery today owes much to the services of early practitioners who made their advances as a result of wide clinical experience and compassion. This two‐part series explores the careers of Percivall Pott and William Arbuthnot Lane. Sir William Arbuthnot Lane was the most brilliant technical surgeon in Britain during the first half of the 20th century. He was one of the many famous physicians and surgeons to train at Guy's Hospital in London since its founding in 1724. Although some of his ideas may be controversial, he had made many original contributions and innovations in a variety of surgical techniques. He introduced mastoid drainage in purulent otitis media with specially designed chisels and gouges; resection of the cervical oesophagus for cancer and reconstruction by skin graft; and the repair of cleft lip and palate in neonates. His greatest contribution must be the introduction of the ‘no‐touch technique’ in open reduction and plating of long bone fractures by Lane's steel plates. In later life, Lane became obsessed with the role of regular bowel motion in health. To combat various real or imagined ailments, he first short‐circuited and later resected the whole large intestine. When surgery failed to resolve the problem, Lane advised regularly taking paraffin oil for the relief of constipation. He was a firm believer as well as a pioneer in alternative or homeopathic medicine. Lane's concept of chronic intestinal stasis is a classic case of a flawless surgical technique subservient to a faulty hypothesis. |