Wylie McKissock
Encyclopedia
Sir Wylie McKissock, OBE
Order of the British Empire
The Most Excellent Order of the British Empire is an order of chivalry established on 4 June 1917 by George V of the United Kingdom. The Order comprises five classes in civil and military divisions...

 (27 October 1906 – 3 May 1994) was a British neurosurgeon. He set up the neurosurgical unit at the Atkinson Morley Hospital
Atkinson Morley Hospital
Atkinson Morley Hospital was located at Copse Hill, Wimbledon, London , SW20, England from 1869 until 2003. The hospital was noted as one of the most advanced brain surgery centres in the world, and in particular for the first use of computed tomography on a human being in 1972 by Godfrey...

, was Britain's most prolific leucotomist (lobotomist
Lobotomy
Lobotomy "; τομή – tomē: "cut/slice") is a neurosurgical procedure, a form of psychosurgery, also known as a leukotomy or leucotomy . It consists of cutting the connections to and from the prefrontal cortex, the anterior part of the frontal lobes of the brain...

), and president of the Society of British Neurological Surgeons
Society of British Neurological Surgeons
The Society of British Neurological Surgeons is a medical association for British neurosurgeons.-History:It was formed in 1926, with Sir Geoffrey Jefferson and Professor Norman Dott. Sir Charles Alfred Ballance was the first President...

.

McKissock was born in Staines
Staines
Staines is a Thames-side town in the Spelthorne borough of Surrey and Greater London Urban Area, as well as the London Commuter Belt of South East England. It is a suburban development within the western bounds of the M25 motorway and located 17 miles west south-west of Charing Cross in...

, Surrey. His parents were Alexander Cathie McKissock and Rae Wylie. His father, originally from Lanarkshire, was a manager in a linoleum factory who wrote crime fiction under the name of Alan Graham and invented a machine for cutting sheets of material. McKissock went to the City of London School
City of London School
The City of London School is a boys' independent day school on the banks of the River Thames in the City of London, England. It is the brother school of the City of London School for Girls and the co-educational City of London Freemen's School...

 and studied medicine in London at King's College
King's College London
King's College London is a public research university located in London, United Kingdom and a constituent college of the federal University of London. King's has a claim to being the third oldest university in England, having been founded by King George IV and the Duke of Wellington in 1829, and...

 and St George's Hospital Medical School
St George's, University of London
St George's, University of London is a medical school located in London, United Kingdom and a constituent college of the federal University of London...

, qualifying in 1930. His first positions were at St George's Hospital
St George's Hospital
Founded in 1733, St George’s Hospital is one of the UK's largest teaching hospitals. It shares its main hospital site in Tooting, England with the St George's, University of London which trains NHS staff and carries out advanced medical research....

, Maida Vale Hospital for Nervous Diseases (where he began his neurosurgical career) and Great Ormond Street Hospital
Great Ormond Street Hospital
Great Ormond Street Hospital for Children is a children's hospital located in London, United Kingdom...

. In 1936 McKissock visited Stockholm to study Swedish neurosurgeon Herbert Olivecrona's work, and then spent a year (1937-1938) on a Rockefeller Foundation
Rockefeller Foundation
The Rockefeller Foundation is a prominent philanthropic organization and private foundation based at 420 Fifth Avenue, New York City. The preeminent institution established by the six-generation Rockefeller family, it was founded by John D. Rockefeller , along with his son John D. Rockefeller, Jr...

 Fellowship in the USA and Canada. By this time he had a young family, having married Rachael Jones in 1934. The couple had two daughters and a son.

In 1939, at the outbreak of World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, McKissock tried unsuccessfully to join the army as a neurosurgeon and instead was appointed to the neurosurgical unit at Leavesden Emergency Hospital. The unit later moved to the Atkinson Morley Hospital
Atkinson Morley Hospital
Atkinson Morley Hospital was located at Copse Hill, Wimbledon, London , SW20, England from 1869 until 2003. The hospital was noted as one of the most advanced brain surgery centres in the world, and in particular for the first use of computed tomography on a human being in 1972 by Godfrey...

, Wimbledon, and for a time in 1944 was evacuated to Bath. McKissock was awarded an OBE in 1946 for his neurosurgical work on casualties with brain injuries during the war. He became a consultant at St George's Hospital and was also given an appointment at the National Hospital for Neurology and Neurosurgery
National Hospital for Neurology and Neurosurgery
The National Hospital for Neurology and Neurosurgery is a neurological hospital in London, United Kingdom and part of the University College London Hospitals NHS Foundation Trust...

 in Queen Square, the neurology unit of University College Hospital
University College Hospital
University College Hospital is a teaching hospital located in London, United Kingdom. It is part of the University College London Hospitals NHS Foundation Trust and is closely associated with University College London ....

. Thus at the Atkinson Morley Hospital, which he was to run until his retirement in 1971, he operated on patients from St George's Hospital, Maida Vale Hospital, Great Ormond Street, Queen Square and University College Hospital, as well as accepting referrals from other hospitals.

While at the Atkinson Morley Hospital, McKissock developed an extensive practice of psychosurgery
Psychosurgery
Psychosurgery, also called neurosurgery for mental disorder , is the neurosurgical treatment of mental disorder. Psychosurgery has always been a controversial medical field. The modern history of psychosurgery begins in the 1880s under the Swiss psychiatrist Gottlieb Burckhardt...

, travelling to psychiatric hospitals all over the south of England, Wales and the Midlands. In the 1940s he favoured the standard Freeman-Watts leucotomy where holes were drilled in the side of the head and an instrument swept through the white matter to severe connections between the frontal lobes and deeper structures in the brain. Here he describes the Freeman-Watts leucotomy and the speed at which he operated:

"This is not a time-consuming operation. A competent team in a well-organised mental hospital can do four such operations in 2-2½ hours. The actual bilateral prefrontal leucotomy can be done by a properly trained neurosurgeon in six minutes and seldom take more than ten minutes."

In 1948, in an attempt to reduce the risks and damaging effects of leucotomy, he developed a technique of his own, the rostral leucotomy, where the frontal lobes were approached from the top of the head. He still used the standard Freeman-Watts technique on some patients. By the late 1950s he had performed about 3,000 leucotomies.

In 1966 McKissock became president of the Society of British Neurological Surgeons. He was awarded a knighthood on his retirement in 1971, after which he went to live in Scotland.
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