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A tribute to Dr. L. L. Hill
NEW SERIES VOL. III, No.
EditoriaIs
2
is not a necessary one. As RosenbIatt and Cooksey state in their conchrsions, it is not aIways indicated to suture muscIe to fascia, but it may be reIied upon if areolar tissue is first removed. ProbabIy union will be more certain if the smooth edge of the muscIe is aIso traumatized by numerous snips of the scissors. The point of interest in these experimenta demonstrations is that the more disfiguring and more complicated operation of weaving strips of fascia Iata back and forth between muscIe and ligament (GaIIie and LeMesurier) shouId be reserved for those cases in which satisfactory contact of substantial structures cannot be made. These are the recurrent or of very cases of, especiahy,
A TRIBUTE
T
American
Journal
of Surgery
191
Iarge hernia in which transversus fascia is grossIy deficient and in which the muscles are attenuated and wideIy separated from Poupart’s Iigament. In some of these a transpIantation of a sheet of fascia Iata might be better than a weaving of fascia1 strips. In most cases of obIique inguina1 hernia, we repeat, the high ligation of the sac and the restoration of the transversus fascia are steps more important than pIastic cIosure of the cana1. The Iatter is undeniabIy usefu1, however, as an artificia1 support for the ‘peritoneum whenever its normal support, the transversus fascia, cannot be certainly restored by suture. W. M. B.
TO DR. L. L. HILL
0 accompany the gIorious appreciation of Lord Lister, published in this issue of the JOURNAL, I regard it as a priviIege to present a sketch of its author. Every Southern surgeon wiI1 rejoice with me in reading the euIogy of a master by his devoted disciple and aIso in giving deserved recognition to one of our number who, owing to his modest and retiring disposition, is not as widely known as he shouId be. “ AIabama Here is, indeed, another Student.” Dr. Hi11 was we11 prepared for the study of medicine and evidentIy from the beginning determined to fit himself for the practice of surgery. It was not aItogether a common custom for young men of our section to finish their medica education abroad, but HiIl, after taking degrees at two good coheges in this country, repaired to London, where he spent six months in Lister’s clinic, and then to the continent on a visit of more than a month to the best hospitaIs. His career, then, had an inception out of the ordinary. In truth he is a man out of the ordinary. He has been an outstanding man. His surgica1 skil1, notabIe for accuracy and boIdness, as with a11 pioneers; his studious habits and his fine abiIity to express himseIf; his high character and unswerving IoyaIty-a11 these
have marked Dr. Hi11 as a man of superior intehigence and ability. Luther Leonidas Hi11 was born in Montgomery, Alabama, on January 22, I862, the son of the Reverend Luther Leonidas HiII, Methodist minister, and Laura Sarah Croom HiII, both natives of AIabama. His origina American ancestor, WiIIiam from EngIand to W. HilI, emigrated North Carolina in 1687. Dr. Hi11 Iived on a farm about four miIes out of the City of Montgomery from his infancy unti1 the time he went away to cohege. His earIy education was acquired in the schoo1 of Professor George Thomas at Montgomery. He Iater went to Howard CoIIege, then at Marion, Alabama, but now at Birmingham, where he compIeted the junior academic year. He was graduated from the medica department of New York University in 1881 at the age of nineteen. He spent the summer of that year attending Iectures at hospitaIs in New York City. He was aIso graduated in medicine in 1882 from the Jefferson MedicaI CoIIege, Philadelphia, where he went that he might attend the Iectures of SamueI Gross. He attended the New York PoIyclinic where he compIeted a course on the eye, ear, nose and throat. From October I, 1883, to ApriI I, 1884: he
ig2
EditoriaIs
American JournaI of Surgery
was at King’s CoIIege HospitaI, London, where he studied surgery under the instruction of Joseph Lister and John Wood. After visiting the principa1 cities of Europe, he returned to Montgomery, AIabama, and of on May IT, 1884, began the practice medicine there, speciaIizing in surgery. For five years Dr. Hi11 was surgeon of the Second AIabama Regiment of the NationaI Guard and in Ig Io he was made Surgeon Genera1 of the AIabama NationaI Guard.
Luther
guished pioneer heaIth oficer of the State of AIabama. In Igr 3 he deIivered this Iecture, using as his subject “SurgicaI CompIications and SequeIs of Typhoid Fever.” Dr. Hi11 is now Grand Senior Life CounseIor of the AIabama MedicaI Association. In 1897 he was President of the United States Board of Pension Examiners and in 1893 was President of the Montgomery Board of HeaIth. For many years
Leonidas
In 1910 he was appointed a trustee of the AIabama SchooI for the Deaf and BIind. In 1887, he was elected President of the Montgomery MedicaI and SurgicaI Society. In 1888 he was eIected counseIor of the AIabama State MedicaI Association and in 1897 he became President of the AIabama State MedicaI Association, being one of the youngest, if not the youngest, ever to hoId this position. As President of the State Association he originated the Jerome Cochran Lecture in honor of the distin-
HiII,
M.D.
he has been surgeon for the MobiIe & Ohio Raih-oad. Since 1897 Dr. Hi11 has been visiting surgeon of the Laura Hi11 HospitaI of Montgomery, an institution named in honor of his mother and owned and operated by him and by his brother, Dr. Robert S. Hi11 of Montgomery. For more than thirty years these brothers have been associated in the practice of surgery, Dr. Luther Hi11 doing the genera1 surgery and Dr. Robert Hi11 the gynecoIogy. In Igoz Dr. Luther Hi11 reported the
NEW SERIES VOL.III, No. 2
MemoriaI
first successful case, in America, of suture of the heart for a wound penetrating the ventricuIar cavity, and six years Iater he pubIished a paper on Wounds of the Heart with a report of three cases. He wrote the section on Wounds of the Heart for the Handbook of “ Reference MedicaI of which contribution the pubSciences,” lisher said : “We are very gIad to report that the articIe of Dr. L. L. HiII, of Montgomery, AIabama, in the Third Edition was so highIy thought of and received such favorabIe comment and is so nearIy down to date at this time that it has been copied intact into the Fourth Edition of the Handbook.” Dr. Hi11 is aIso author of many other notable contributions to surgica1 literature. He has been a student a11 his life and possesses one of the finest medica Iibraries in the country, as we11 as many voIumes of genera1 Iiterature. It is an exceptiona evening that Dr. Hi11 is not to be found in his Iibrary studying and reading unti1 one or two o’cIock in the morning. Suffering since his earIy manhood from otoscIerosis with its ever increasing handicap, Dr. Hi11 has been denied much of the pIeasure that comes from the contact and society of his contemporaries in the meetings of medica associations. The versatility of his knowIedge, the wide range of his information and his ever ready and unfaiIing memory have, however, been the :B VIRGIL 0
V
PENDLETON
IRGIL P. GIBNEY, one of the pioneers of orthopedic surgery in America, and for nearIy two generations its most distinguished representative, died on June 16, 1927. Dr. Gibney was born in Jessamine County, Kentucky, on September 29, I 847; and had he Iived three months Ionger, he wouId have compTeted his eightieth year. He received his earIy education in the south, being graduated with the degree of BacheIor of Arts, from the University of Kentucky in 1869 (A.M. in 1872). He then came to New York and entered the
American Journd
of Surgery
‘93
source of much admiration and deIight to his friends. In his Iibrary with his friends or with his pen the warmth of his nature finds true enjoyment. He has written many Ietters to his friends on many subjects as diverse as comments on the opossum and a review of Papini’s “Life of Christ.” In 1910, the University of AIabama, in recognition of Dr. HiII’s achievements as a surgeon, conferred upon him the degree of Doctor of Laws. In 1913 he was eIected a feIIow of the American CoIIege of Surgeons and in 1925 he was given the Phi Beta Kappa key by AIpha Chapter of the University of AIabama. Dr. Hi11 is a Democrat and is a member of the Sigma Nu Fraternity. On JuIy I 2, 1888, Dr. HiiI married Miss LiIIie Lyons of MobiIe, AIabama. They are the parents of four chiIdren: Mrs. LiIIian Hi11 Rucker of Birmingham, AIabama, the wife of Dr. E. W. Rucker, an ear, nose and throat speciaIist of that city; Hon. Lister HiII, of Montgomery, AIabama; Miss AmeIie Hi11 of Montgomery, AIabama, and L. L. HiII, Jr., of Des Moines, Iowa. Hon. Lister Hi11 was named by his father for Sir Joseph Lister and at the earIy age of twentyeight years was eIected to Congress where he stiI1 hoIds his seat. L. L. HiII, Jr. was. graduated from the United States Mrhtary Academy at West Point in 1918. HUBERT A. ROYSTE:R. GIBNEY,
M.D.,
LL.D. @
BeIIevue HospitaI MedicaI SchooI from which he was graduated in 1871. Soon after, he became associated with the Hospita1 for the Ruptured and CrippIed, as Assistant Resident Surgeon. This was in the earIy days of the institution, for it was founded in 1863 and had onIy recently moved from a house on Second Avenue to its new home on the corner of Lexington Avenue and Forty-second Street. It was the onIy hospita1 in the country for the treatment of crippIed chiIdren and for hernia. On the death of Dr. James Knight, in I 887, Dr. Gibney was appointed Surgeon
EditoriaIs
2
is not a necessary one. As RosenbIatt and Cooksey state in their conchrsions, it is not aIways indicated to suture muscIe to fascia, but it may be reIied upon if areolar tissue is first removed. ProbabIy union will be more certain if the smooth edge of the muscIe is aIso traumatized by numerous snips of the scissors. The point of interest in these experimenta demonstrations is that the more disfiguring and more complicated operation of weaving strips of fascia Iata back and forth between muscIe and ligament (GaIIie and LeMesurier) shouId be reserved for those cases in which satisfactory contact of substantial structures cannot be made. These are the recurrent or of very cases of, especiahy,
A TRIBUTE
T
American
Journal
of Surgery
191
Iarge hernia in which transversus fascia is grossIy deficient and in which the muscles are attenuated and wideIy separated from Poupart’s Iigament. In some of these a transpIantation of a sheet of fascia Iata might be better than a weaving of fascia1 strips. In most cases of obIique inguina1 hernia, we repeat, the high ligation of the sac and the restoration of the transversus fascia are steps more important than pIastic cIosure of the cana1. The Iatter is undeniabIy usefu1, however, as an artificia1 support for the ‘peritoneum whenever its normal support, the transversus fascia, cannot be certainly restored by suture. W. M. B.
TO DR. L. L. HILL
0 accompany the gIorious appreciation of Lord Lister, published in this issue of the JOURNAL, I regard it as a priviIege to present a sketch of its author. Every Southern surgeon wiI1 rejoice with me in reading the euIogy of a master by his devoted disciple and aIso in giving deserved recognition to one of our number who, owing to his modest and retiring disposition, is not as widely known as he shouId be. “ AIabama Here is, indeed, another Student.” Dr. Hi11 was we11 prepared for the study of medicine and evidentIy from the beginning determined to fit himself for the practice of surgery. It was not aItogether a common custom for young men of our section to finish their medica education abroad, but HiIl, after taking degrees at two good coheges in this country, repaired to London, where he spent six months in Lister’s clinic, and then to the continent on a visit of more than a month to the best hospitaIs. His career, then, had an inception out of the ordinary. In truth he is a man out of the ordinary. He has been an outstanding man. His surgica1 skil1, notabIe for accuracy and boIdness, as with a11 pioneers; his studious habits and his fine abiIity to express himseIf; his high character and unswerving IoyaIty-a11 these
have marked Dr. Hi11 as a man of superior intehigence and ability. Luther Leonidas Hi11 was born in Montgomery, Alabama, on January 22, I862, the son of the Reverend Luther Leonidas HiII, Methodist minister, and Laura Sarah Croom HiII, both natives of AIabama. His origina American ancestor, WiIIiam from EngIand to W. HilI, emigrated North Carolina in 1687. Dr. Hi11 Iived on a farm about four miIes out of the City of Montgomery from his infancy unti1 the time he went away to cohege. His earIy education was acquired in the schoo1 of Professor George Thomas at Montgomery. He Iater went to Howard CoIIege, then at Marion, Alabama, but now at Birmingham, where he compIeted the junior academic year. He was graduated from the medica department of New York University in 1881 at the age of nineteen. He spent the summer of that year attending Iectures at hospitaIs in New York City. He was aIso graduated in medicine in 1882 from the Jefferson MedicaI CoIIege, Philadelphia, where he went that he might attend the Iectures of SamueI Gross. He attended the New York PoIyclinic where he compIeted a course on the eye, ear, nose and throat. From October I, 1883, to ApriI I, 1884: he
ig2
EditoriaIs
American JournaI of Surgery
was at King’s CoIIege HospitaI, London, where he studied surgery under the instruction of Joseph Lister and John Wood. After visiting the principa1 cities of Europe, he returned to Montgomery, AIabama, and of on May IT, 1884, began the practice medicine there, speciaIizing in surgery. For five years Dr. Hi11 was surgeon of the Second AIabama Regiment of the NationaI Guard and in Ig Io he was made Surgeon Genera1 of the AIabama NationaI Guard.
Luther
guished pioneer heaIth oficer of the State of AIabama. In Igr 3 he deIivered this Iecture, using as his subject “SurgicaI CompIications and SequeIs of Typhoid Fever.” Dr. Hi11 is now Grand Senior Life CounseIor of the AIabama MedicaI Association. In 1897 he was President of the United States Board of Pension Examiners and in 1893 was President of the Montgomery Board of HeaIth. For many years
Leonidas
In 1910 he was appointed a trustee of the AIabama SchooI for the Deaf and BIind. In 1887, he was elected President of the Montgomery MedicaI and SurgicaI Society. In 1888 he was eIected counseIor of the AIabama State MedicaI Association and in 1897 he became President of the AIabama State MedicaI Association, being one of the youngest, if not the youngest, ever to hoId this position. As President of the State Association he originated the Jerome Cochran Lecture in honor of the distin-
HiII,
M.D.
he has been surgeon for the MobiIe & Ohio Raih-oad. Since 1897 Dr. Hi11 has been visiting surgeon of the Laura Hi11 HospitaI of Montgomery, an institution named in honor of his mother and owned and operated by him and by his brother, Dr. Robert S. Hi11 of Montgomery. For more than thirty years these brothers have been associated in the practice of surgery, Dr. Luther Hi11 doing the genera1 surgery and Dr. Robert Hi11 the gynecoIogy. In Igoz Dr. Luther Hi11 reported the
NEW SERIES VOL.III, No. 2
MemoriaI
first successful case, in America, of suture of the heart for a wound penetrating the ventricuIar cavity, and six years Iater he pubIished a paper on Wounds of the Heart with a report of three cases. He wrote the section on Wounds of the Heart for the Handbook of “ Reference MedicaI of which contribution the pubSciences,” lisher said : “We are very gIad to report that the articIe of Dr. L. L. HiII, of Montgomery, AIabama, in the Third Edition was so highIy thought of and received such favorabIe comment and is so nearIy down to date at this time that it has been copied intact into the Fourth Edition of the Handbook.” Dr. Hi11 is aIso author of many other notable contributions to surgica1 literature. He has been a student a11 his life and possesses one of the finest medica Iibraries in the country, as we11 as many voIumes of genera1 Iiterature. It is an exceptiona evening that Dr. Hi11 is not to be found in his Iibrary studying and reading unti1 one or two o’cIock in the morning. Suffering since his earIy manhood from otoscIerosis with its ever increasing handicap, Dr. Hi11 has been denied much of the pIeasure that comes from the contact and society of his contemporaries in the meetings of medica associations. The versatility of his knowIedge, the wide range of his information and his ever ready and unfaiIing memory have, however, been the :B VIRGIL 0
V
PENDLETON
IRGIL P. GIBNEY, one of the pioneers of orthopedic surgery in America, and for nearIy two generations its most distinguished representative, died on June 16, 1927. Dr. Gibney was born in Jessamine County, Kentucky, on September 29, I 847; and had he Iived three months Ionger, he wouId have compTeted his eightieth year. He received his earIy education in the south, being graduated with the degree of BacheIor of Arts, from the University of Kentucky in 1869 (A.M. in 1872). He then came to New York and entered the
American Journd
of Surgery
‘93
source of much admiration and deIight to his friends. In his Iibrary with his friends or with his pen the warmth of his nature finds true enjoyment. He has written many Ietters to his friends on many subjects as diverse as comments on the opossum and a review of Papini’s “Life of Christ.” In 1910, the University of AIabama, in recognition of Dr. HiII’s achievements as a surgeon, conferred upon him the degree of Doctor of Laws. In 1913 he was eIected a feIIow of the American CoIIege of Surgeons and in 1925 he was given the Phi Beta Kappa key by AIpha Chapter of the University of AIabama. Dr. Hi11 is a Democrat and is a member of the Sigma Nu Fraternity. On JuIy I 2, 1888, Dr. HiiI married Miss LiIIie Lyons of MobiIe, AIabama. They are the parents of four chiIdren: Mrs. LiIIian Hi11 Rucker of Birmingham, AIabama, the wife of Dr. E. W. Rucker, an ear, nose and throat speciaIist of that city; Hon. Lister HiII, of Montgomery, AIabama; Miss AmeIie Hi11 of Montgomery, AIabama, and L. L. HiII, Jr., of Des Moines, Iowa. Hon. Lister Hi11 was named by his father for Sir Joseph Lister and at the earIy age of twentyeight years was eIected to Congress where he stiI1 hoIds his seat. L. L. HiII, Jr. was. graduated from the United States Mrhtary Academy at West Point in 1918. HUBERT A. ROYSTE:R. GIBNEY,
M.D.,
LL.D. @
BeIIevue HospitaI MedicaI SchooI from which he was graduated in 1871. Soon after, he became associated with the Hospita1 for the Ruptured and CrippIed, as Assistant Resident Surgeon. This was in the earIy days of the institution, for it was founded in 1863 and had onIy recently moved from a house on Second Avenue to its new home on the corner of Lexington Avenue and Forty-second Street. It was the onIy hospita1 in the country for the treatment of crippIed chiIdren and for hernia. On the death of Dr. James Knight, in I 887, Dr. Gibney was appointed Surgeon