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Chapter II: Hong Kong’s First Academic Surgical Unit






                                                                                                                                                             Promoting Research





            Pre-war Students                                                                                                                                 Digby’s commitment to the highest standards of surgical education and practice,
                                                                                                                                                             particularly to infection control, was an important part of his legacy. But he

                                                                                                                                                             also kickstarted the Department’s research programme, encouraging teamwork
                                                                                                                                                             and research alliances among colleagues and scientists and the presentation and
            In its first two decades, HKU attracted students from Southeast Asia and                                                                         publication of results. Digby himself set the pace with more than 50 research
            mainland China, as well as Hong Kong. The Faculty was a big draw as it was
            one of the few institutions in the region providing an education in Western                                                                      papers published during his career – a prolific feat at a time when surgical
            medicine. The influx changed in the 1930s when political and financial                                                                           research was still in its infancy.
            turmoil affected home countries, meaning fewer new students came from
            abroad. But some of those who did so stayed for good, including the future                                                                       One of the highlights of his work was the description of the “Hong Kong disease” in his
            Head of Surgery, Professor Ong Guan-Bee.                                                                                                         most well-known paper,

                                                                                                                                                             published in 1930, on the
            The Faculty also had its first female graduate at this time, Dr Eva Hotung,                                                                      syndrome  of  recurrent
            who was awarded an MBBS in 1927.
                                                                                                                                                             pyogenic cholangitis .
                                                                                                                                                                                      2
                                                                                                                                                             Digby observed that

                                                                                                                                                             gallstones in Chinese
                                                                                                                                                             patients commonly
                                                                                                                                                             generated within the
                                                                                                                                                             liver, not the gall bladder

                                                                                                                                                             as in European patients,
                                                                                                                                                             and that the gallstones
                                                                                                                                                             in Chinese patients often
                                                                                                                                                             grew to a very large size.

                                                                                                                                                             This led to distension
                                                                                                                                                             of the gall bladder with
                                                                                                                                                             bile-duct obstruction
                                                                                                                                                             and jaundice, which

                                                                                                                                                             could be fatal, and he
                                                                                                                                                             recommended immediate
                                                                                                                                                             surgical treatment. The
            Professor Digby (seated, centre) with staff and students in 1926, including Dr Eva Hotung (seated, far right).
                                                                                                                                                             disease became the most
                                                                                                                                                             prevalent biliary disease
                                                                                                                                                             in Hong Kong in the
                                                                                                                                                             1960s.
                                                                                                                                                                                                             Adapted from British Journal of Surgery, 1930.









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