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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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