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Sir Henry Sessions Souttar (14 December 1875 – 12 November 1964) was a British surgeon with a wide breadth of interests. He trained first as a mathematician and engineer. His engineer’s training enabled him to design and make new types of surgical instrument. His mathematical training made him a leader in setting out the first British guidelines for
Radiotherapy Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radia ...
. In 1925 he pioneered "blind"
open heart surgery Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to corr ...
on a patient with
congenital heart defect A congenital heart defect (CHD), also known as a congenital heart anomaly and congenital heart disease, is a defect in the structure of the heart or great vessels that is present at birth. A congenital heart defect is classed as a cardiovascular ...
. This was not repeated until 1948.T. Holmes Sellors rev. Tom Treasure, ''Oxford Dictionary of National Biography'', Oxford University Press, 2004


Biography

Henry Sessions Souttar was born at
Birkenhead Birkenhead (; cy, Penbedw) is a town in the Metropolitan Borough of Wirral, Merseyside, England; historically, it was part of Cheshire until 1974. The town is on the Wirral Peninsula, along the south bank of the River Mersey, opposite Liver ...
on 14 December 1875, the only son of Robinson Souttar, Member of Parliament for
Dumfries Dumfries ( ; sco, Dumfries; from gd, Dùn Phris ) is a market town and former royal burgh within the Dumfries and Galloway council area of Scotland. It is located near the mouth of the River Nith into the Solway Firth about by road from the ...
(1895–1900), and his wife Mary. He was educated at Oxford high school and
Queen's College, Oxford The Queen's College is a constituent college of the University of Oxford, England. The college was founded in 1341 by Robert de Eglesfield in honour of Philippa of Hainault. It is distinguished by its predominantly neoclassical architecture, ...
(1895–8). He gained a double first in
mathematics Mathematics is an area of knowledge that includes the topics of numbers, formulas and related structures, shapes and the spaces in which they are contained, and quantities and their changes. These topics are represented in modern mathematics ...
and also studied
engineering Engineering is the use of scientific method, scientific principles to design and build machines, structures, and other items, including bridges, tunnels, roads, vehicles, and buildings. The discipline of engineering encompasses a broad rang ...
. In 1904 he married Catharine Edith, daughter of
Robert Bellamy Clifton Robert Bellamy Clifton Fellow of the Royal Society, FRS (13 March 1836 – 21 February 1921) was a British scientist. Academic career Clifton was educated at University College, London and St John's College, Cambridge where he studied under Sir ...
, professor of experimental philosophy at
Oxford Oxford () is a city in England. It is the county town and only city of Oxfordshire. In 2020, its population was estimated at 151,584. It is north-west of London, south-east of Birmingham and north-east of Bristol. The city is home to the ...
. They had a son and a daughter. Souttar qualified in medicine at the
London Hospital The Royal London Hospital is a large teaching hospital in Whitechapel in the London Borough of Tower Hamlets. It is part of Barts Health NHS Trust. It provides district general hospital services for the City of London and Tower Hamlets and spe ...
, where he became MRCS, LRCP in 1906. He became
FRCS Fellowship of the Royal Colleges of Surgeons (FRCS) is a professional qualification to practise as a senior surgeon in Ireland or the United Kingdom. It is bestowed on an intercollegiate basis by the four Royal Colleges of Surgeons (the Royal C ...
in 1909 and was appointed as a surgical registrar. He joined the staff of the West London Hospital and in 1915 he became assistant surgeon to the London Hospital. At the outbreak of war in 1914, Souttar was appointed surgeon to the
Belgian Belgian may refer to: * Something of, or related to, Belgium * Belgians, people from Belgium or of Belgian descent * Languages of Belgium, languages spoken in Belgium, such as Dutch, French, and German *Ancient Belgian language, an extinct languag ...
field hospital at
Antwerp Antwerp (; nl, Antwerpen ; french: Anvers ; es, Amberes) is the largest city in Belgium by area at and the capital of Antwerp Province in the Flemish Region. With a population of 520,504,
. He was awarded the
Order of the Crown of Belgium The Order of the Crown (french: Ordre de la Couronne, nl, Kroonorde) is a national order of the Kingdom of Belgium. The Order is one of Belgium's highest honors. History The Order was established on October 15, 1897 by King Leopold II in his ...
, and later he was appointed
CBE The Most Excellent Order of the British Empire is a British order of chivalry, rewarding contributions to the arts and sciences, work with charitable and welfare organisations, and public service outside the civil service. It was established o ...
. Souttar applied his mathematical background and his engineering skills to his surgery. He had his own workshop where he designed and made many surgical instruments, with the aim of improving existing operative procedures. His inventions included: a flanged tube to overcome obstructions in the gullet, a steam
cautery Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a part of a body to remove or close off a part of it. It destroys some tissue in an attempt to mitigate bleeding and damage, remove an undesired growth, or ...
to sterilize and clean breaking-down tumours and ulcers on the skin, and a craniotome to open the skull in brain operations. With the introduction of
radium Radium is a chemical element with the symbol Ra and atomic number 88. It is the sixth element in group 2 of the periodic table, also known as the alkaline earth metals. Pure radium is silvery-white, but it readily reacts with nitrogen (rather t ...
in the treatment of
malignant tumour Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal bl ...
s, Souttar’s mathematical skill in assessing both dose and range was very valuable and he chaired many committees on this subject. He designed a 'gun' by which
radon Radon is a chemical element with the symbol Rn and atomic number 86. It is a radioactive, colourless, odourless, tasteless noble gas. It occurs naturally in minute quantities as an intermediate step in the normal radioactive decay chains through ...
seeds could be implanted in or around a tumour. Souttar's most famous innovation was in heart surgery. In 1925 surgery of the chest was in its infancy and operations on the valves of the heart were unknown. Souttar operated successfully on a young woman with
Mitral valve disease Mitral regurgitation (MR), also known as mitral insufficiency or mitral incompetence, is a form of valvular heart disease in which the mitral valve is insufficient and does not close properly when the heart pumps out blood.
, devising a new procedure. He made an opening in the appendage of the
left atrium The atrium ( la, ātrium, , entry hall) is one of two upper chambers in the heart that receives blood from the circulatory system. The blood in the atria is pumped into the heart ventricles through the atrioventricular valves. There are two atr ...
and inserted a finger in order to explore and correct the damaged mitral valve. This was a pioneer operation. The patient survived for several years and the operation is regarded as a great landmark in
cardiac surgery Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to corr ...
. He was only permitted to do the operation once. Souttar's physician colleagues at that time decided the procedure was not justified and he could not continue. The next operations of this type were done by others in 1948.Lawrence H Cohn (2007), Cardiac Surgery in the Adult, page 6+ Souttar was instrumental in the foundation of the faculties of Dental surgery and Anaesthetists at the
Royal College of Surgeons The Royal College of Surgeons is an ancient college (a form of corporation) established in England to regulate the activity of surgeons. Derivative organisations survive in many present and former members of the Commonwealth. These organisations a ...
. After his retirement in 1947 from the London Hospital Souttar retained his active interest in surgery. Following the death of his first wife in 1959, Souttar married again in 1963; his second wife was Amy Bessie, widow of Harry Douglas Wigdahl. Souttar died at his London home on 12 November 1964; the funeral service was held at St Marylebone Church, of which he had been a
churchwarden A churchwarden is a lay official in a parish or congregation of the Anglican Communion or Catholic Church, usually working as a part-time volunteer. In the Anglican tradition, holders of these positions are ''ex officio'' members of the parish b ...
for many years. Souttar was a good linguist and a competent musician. He is said to have made a violin which he himself played. He illustrated his own textbook, ''The Art of Surgery'' (1929). He was a very tall and powerfully built man, dark in his younger days, and impressive looking. He was noted for his extreme courtesy and kindness, and for his ingenuity and ideas.


Honours

Royal College of Surgeons The Royal College of Surgeons is an ancient college (a form of corporation) established in England to regulate the activity of surgeons. Derivative organisations survive in many present and former members of the Commonwealth. These organisations a ...
Member of council 1933 to 1949 Vice-president 1943–4. Bradshaw lecturer 1943 Hunterian orator 1949
British Medical Association The British Medical Association (BMA) is a registered trade union for doctors in the United Kingdom. The association does not regulate or certify doctors, a responsibility which lies with the General Medical Council. The association's headquar ...
President 1945–6 Honorary fellow
American College of Surgeons The American College of Surgeons is an educational association of surgeons created in 1913.American College of Surgeons Online "What is the American College of Surgeons?"/ref> See also *American College of Physicians The American College o ...
,
Royal Australasian College of Surgeons The Royal Australasian College of Surgeons (RACS) is the leading advocate for surgical standards, professionalism and surgical education in Australia and New Zealand. Known by its common acronym RACS, it is a not-for-profit organisation, sup ...
Trinity College, Dublin , name_Latin = Collegium Sanctae et Individuae Trinitatis Reginae Elizabethae juxta Dublin , motto = ''Perpetuis futuris temporibus duraturam'' (Latin) , motto_lang = la , motto_English = It will last i ...
Awarded him an honorary MD 1933
Knight A knight is a person granted an honorary title of knighthood by a head of state (including the Pope) or representative for service to the monarch, the church or the country, especially in a military capacity. Knighthood finds origins in the Gr ...
ed 1949


References


External links

* * {{DEFAULTSORT:Souttar, Henry Sessions Fellows of the Royal College of Surgeons English surgeons People from Birkenhead Alumni of The Queen's College, Oxford English Anglicans 20th-century English medical doctors 1875 births 1964 deaths Commanders of the Order of the British Empire Recipients of the Order of the Crown (Belgium) Knights Bachelor 20th-century surgeons