Victor Bonney's eighty years
included the last days of sheltered life of British history; his working life
was from about 1905 to 1945, he was at the top of a conservative profession,
medicine, as a master surgeon, probably the finest of his class in
gynaecology. Surgery has
reduced in scope over the last twenty-five years: hormone therapies have taken
the need away for some, laparoscopically-assisted operations have reduced the extent
of surgery for others and much malignancy is now treated the non-surgical
disciplines of chemotherapy and radiation.Victor Bonney stood at the peak of gynaecological surgery
and showed us how to do it.He
was a determined man and he ensured that his juniors learned from his
principles.
Bonney, son and the grandson of
doctors, was brought up in Victorian days in a tall house in Chelsea.It had a well-wooded back garden in
which he and his brothers could play.His parents were artistic and there was a procession of singers and
musicians coming through the house performing.He was at first educated at home and did not go to Miss
Parker's Day School until he was nine.
His main memories of that school
were that he used to make up part of a gang to fight the boys in the
Clockhouse Board School.His
father had not realised the importance of small boys mixing with other
children the same age and so he had had an adult orientated childhood.In consequence he was rather lonely
at school.Later he attended St.
Mark's School where he was thought to have a superiority complex.He did not make friends of his own
age until much later on in adolescence.He had a good working brain and a fine understanding for mechanical
things.He knew Chelsea before
the great museums were built in Exhibition Road and often used it to walk to
Hyde Park with his nanny, to sail his boat on the Round Pond.
Influenced by the careers of his
father and grandfather, Victor Bonney had always wanted to go into
medicine.He took the Cambridge
Local Examination in 1887 and passed with First Class honours.In 1891, he started medicine at St.
Bartholomew's Hospital Medical School; he enjoyed a few months there but
transferred to the Middlesex Hospital Medical School very soon.This was a hospital renowned for a
consultant staff serving the Royal Household and providing Presidents for the
Royal Colleges.He worked his
way through the medical school until the finals where he passed the Conjoint
Examination in Obstetrics and Surgery easily but failed in Medicine.He realised that he had to settle
down and started to work.He
tied facts together logically so that he did not have to remember isolated
events but looked for trends that linked them together.
In 1896 he passed Medicine with
Distinction and went on to take the London MB in all parts and again he
gained Distinction.He became a
house physician but fell foul of the great Sir Douglas Powell for two reasons.Firstly, he often saw and treated
patients before his superior had arrived at his weekly visit; secondly, his
notes were brief, containing only the relevant facts.His superiors were also to some
extent unhappy about Bonney's popularity as a teacher of students and so when
he applied to become a Senior House Officer at the Brompton Hospital he was
unsuccessful for his two previous chiefs had blackballed him.He applied back at the Middlesex for
a medical post but again was not supported.
It was probably a chance meeting
with the great gynaecologist Sir John Bland Sutton in the corridor of the
Middlesex that led to Bonney taking up a career in gynaecology.Sir John enquired about his old
student's career and, on hearing the story, he is alleged to have said 'We
want a House Surgeon at Chelsea, the job is vacant.I will see you get it if you apply'.This is a little different from the
processes doctors have to go through to get into jobs these days.
A resident's post at Chelsea Hospital
was followed by one at Queen Charlotte's and he then returned a year
later to be a Registrar at Chelsea Hospital.He became Outpatient Gynaecologist in 1903 to that
hospital and a Registrar in the subject at the Middlesex.In 1905, he married Annie Appleyard, a Tasmanian nurse who
was a sister at Chelsea Hospital.He met her, wooed her and married her but sadly within two years of this
marriage Annie had menorrhagia severe enough to drop her haemoglobin
critically.After much
consideration it was agreed that she should have a hysterectomy at the
Middlesex Hospital.This was
done and a single fibroid was found at the fundus.It was the end of the Bonney's hopes of a family and
Victor always remembered this.It turned his mind towards conservative surgery for benign conditions
of the uterus and ovary and influenced his whole career.
In 1907 he became
an Assistant Gynaecological Surgeon but still did not have any inpatient beds - but
two years later Bonney became a full gynaecologist at the Middlesex Hospital
and in 1913 filled the same post at Chelsea Hospital for Women.The great professional achievement
was surgery for carcinoma of the cervix.He, along with Comyns Berkeley pioneered this operation in
Britain and the Empire.The
Wertheim hysterectomy was not popular in this country for it was a very
difficult operation but Bonney mastered it.He by now was in the full flood of his work, rising early
in the day, writing before breakfast sometimes walking across the park from
his home in Harley Street to Chelsea Hospital.He would consult in the hospital all day and in the later
afternoon see private patients.In the early evening he would do research and write.
Bonney was not however a dull
man, He was a very sharp dresser, always in dark suits with a fresh carnation
in his buttonhole each day of the year.He and Annie always dressed and dined formally in their home even
though they were alone and afterwards would often go out to a night club to
dance for a few hours for they were both extremely good sleek dancers.He had the habit of calling everyone
(male and female) 'Darling' which was endearing to some but irritated others
and was frankly astonishing when some six foot Australian gynaecologist met
him for the first time and was addressed as 'Darling'.Bonney drove smart cars around London
and as his practice grew, he acquired two chauffeurs; his total staff was
thirteen at home including his secretaries and he worked them all hard.
When the First World War started,
Bonney went to the War Office to volunteer but was told rather briskly that
gynaecologists were not required, and rather rudely reminded that 'the days
of Amazons had passed'.He and
Comyns Berkeley spent the war running the convalescent home of the Middlesex
Hospital down at Clacton-on-Sea. They would go there turn and turn about, three days each
working in London or down at Clacton.Whilst at Clacton they were the only Medical Officers so performed all
sorts of duties from taking X-rays to doing major abdominal and thoracic
surgery.
As the years passed, Bonney did
not seem to age.He still had
enormously long operating lists, travelling round London performing dexterous
surgery.He retired from his two
teaching hospitals in London in the late 1930s aiming to live quietly in his
home, Seabournes, on the River Wye.The Second World War however intervened and he came back to do a locum
at Hereford Hospital for the whole of the War to release a younger man to go
to the armed services.
Bonney's last home, overlooking the River Wye
After the Second World War Bonney
recognised that his operating skills were diminishing.He led a quiet life in Wye with many
visitors from all around the world.In 1949 he was fÍted at Guest of Honour at a conference on malignancy
in Newcastle and gave his last scientific paper there.He had a coronary thrombosis in 1953
at his home after developing a chest infection, and was transferred to the
Middlesex Hospital where, after a cerebrovascular accident, he died on July 4th of that year.He was buried at
Putney Vale Cemetery next to his father.
RECOMMENDED READING
(1) Bonney V(1911) A TEXTBOOK OF GYNAECOLOGICAL SURGERY.
Cassell & Company Ltd, London.
Six
editions of this appeared over Bonney's name, the last in 1952.They are hard to get, for most who
have a copy tend to hang onto it. Try specialist historical bookshops
especially at Hay on Wye.Do telephone
first.
A seventh edition was published in
1964(and reissued in 1966), edited
by two of his disciples - Douglas MacLeod and John Howkins.This was called BONNEY'S
GYNAECOLOGICAL SURGERY.MacLeod,
a great surgeon and pupil of Bonney, died in the early years of preparation
of an eighth edition so Sir John Stallworthy was invited to join.He too had worked with Bonney at
Chelsea Hospital for Women in 1936. The new edition brought out by Bailliere
Tindall in 1974 was an update of gynaecological surgery.The entire text has been drastically
revised and many more illustrations drawn in the Bonney tradition.It is a first rate textbook of modern
gynaecological surgery but has somewhat lost the flavour of Victor Bonney.
(2)
Bonney V
(1946) EXTENDED MYOMECTOMY AND OVARIAN CYSTECTOMY
Bonney's fuller account of his views and experience of
conservative
surgery.
(3)
Bonney V
(1949) WERTHIEM'S OPERATION IN RETROSPECT
LancetI 637-639
A brief review of Bonney's defence of the operation and his
lifetime
results.
(4)
Chamberlain
G(2000) VICTOR BONNEY. THE
GYNAECOLOGICAL SURGEON OF THE TWENTIETH CENTURY.
Parthenon Publishing Group, Carnford
Modesty prevents my commenting on this volume but it is the
only
biography written about themaster's life. I have set it in
the
context of the changes in the medical world and in
national events
over eighty years.It is on sale at the RCOG Bookshop.