During World War I, as an officer with the Royal Army Medical Corps, he organised and opened Queen Mary's Hospital in Sidcup, which pioneered reconstructive surgery.
Through newspapers and lectures, sometimes drawing large crowds, Lane promoted whole foods, fruits and vegetables, sunshine and exercise: his plan to foster health and longevity via three bowel movements daily.
Yet constipation remains a major health problem associating with diverse signs and symptoms, including psychological—sometimes still explained as Lane's disease—and total colectomy has been revived since the 1980s as a mainstream treatment, although dietary intervention is now the first line of action.
[3] William attended schools in eight countries on four continents—Ireland, India, Corfu, Malta, Canada, South Africa, and others—while his family followed the army regiment.
[1][2] Apparently shy and appearing young even for his age, William initially had some troubles with fellow students, but they rapidly recognized his exceptional abilities.
[2][4] In 1877, at age 21, he qualified as a member of the Royal College of Surgeons,[2] and began to practise in Chelsea, London, at the Victoria Hospital for Children.
[1][2] Lane became especially known for internal fixation of displaced fractures, neonatal repair of cleft palate, and developing colectomy,[2] which, although highly controversial and opposed by most surgical peers, notably advanced abdominal surgery.
[8] Quotes of Lane by his Guy's Hospital house surgeon and biographer, William E Tanner:[16] He died at his home,[17] 46 Westbourne Terrace, Paddington, London, W2.
[19] In 1889 in America at Johns Hopkins University's medical school, William Halsted, a pioneer of abdominal surgery, introduced surgical gloves, and then contracted Goodyear Rubber Company to manufacture thin ones to preserve hands' tactile sensitivity.
[2] Amid the conservative medical community's vehement opposition, Lane's approach was so revolutionary that organizations certifying surgeons sometimes automatically dismissed students able to elaborate on such procedures, as nearly 50% of patients whose closed fractures were opened died by ensuing infections.
[2] Altogether, Lane's influence introducing internal fixation rivals and may exceed that of other, early pioneers like Albin Lambotte and later William O'Neill Sherman.
[23][24][25] Later the Pasteur Institute's director and a 1908 Nobelist, Metchnikoff viewed the colon as a primitive organ that had stored our wild ancestors' waste for long periods, a survival advantage amid abundant predators, but a liability since civilization had freed humans to excrete without peril.
[29] Famed British surgeon William Hunter incriminated oral sepsis in 1900, and lectured to a Canadian medical faculty in Montreal in 1910.
[30] Within the English-speaking world, the lectures of Hunter and of Billings "ignited the fires of focal infection",[30] whose theory converged with the autointoxication principle.
[31][33] In the early 20th century, rebuking alleged "health faddists" like Kellogg and Sylvester Graham, American physicians who embraced focal infection theory cast themselves in the German tradition of "scientific medicine".
[32] Meanwhile, British surgeons still knife-happy, Hunter warned of "intestinal stasis" impairing mental stability, and called for "surgical bacteriology".
[14][44] Famed for an appendectomy saving England's monarch, Lane warned of "chronic intestinal stasis"—its "flooding of the circulation with filthy material", thus autointoxication—warnings taken seriously by the public.
[45] Apparently, Lane had had trouble publishing in the British Medical Journal and in The Lancet his first articles on chronic intestinal stasis.
[7] The Royal Society of Medicine called a 1913 meeting, but, despite some 60 synonyms circulating for autointoxication from varying perspectives, suggested neutrality by choosing none and introducing a new term, alimentary toxæmia.
[48] In 1916, Henry Cotton in America had embraced focal infection theory with unmatched zeal, became the first to apply it to psychiatry,[29] and rapidly rose to international fame for prescribing removal of dentition, sex glands, and internal organs—most controversially the colon—to treat schizophrenia and manic depression, while claiming up to some 80% cure rate, seemingly worth the 30% death rate.
[24] In 1925, Lane founded the New Health Society, the first organised body for social medicine,[2] which German pathologist and statesman Rudolf Virchow had pioneered in late 19th century to undo disease's sociopolitical causes.
[2][7] Lane then promoted his views on healthful lifestyle and nutrition, including return to farmland, ample sunlight exposure, ample exercise, greater intake of whole foods, particularly grains, vegetables, and fruits, and nutritional yeast for B vitamins—Lane's plan to foster defecation thrice daily, cancer prevention, general health, and longevity.
[24] Seven years before his 1943 death, Lane's autobiography explained himself as a man "acting upon the repeated request of his children that I should write for them a rough sketch of my life", although "it can be of no interest to others".
[14][62][64][67] Combating alleged myths, some gastroenterologists asserted that "no evidence" supports the autointoxication concept that toxins are absorbed from waste in the large intestine.
[38] By 1985, Lane's early article on surgical treatment of chronic constipation had become a classic,[95] while physiologic testing and more accurate patient selection renewed interest in total colectomy with ileorectal anastomosis—that is, removing the entire large intestine and joining the small intestine's outlet to the rectum—to treat colonic inertia, Lane disease.
[39][96] By now, gastroenterology's accepted view is that, although few patients meet the selection criteria, surgery ought to be offered as a treatment option for severe chronic constipation.
[97] Selection criteria ought to be extremely stringent, including multiple confirmation of slow colon transit by physiologic testing, and further medical, psychological, and psychosocial evaluations, with patients understanding that colectomy might not improve the condition and might even worsen abdominal pain.
[94] Willie Lane was among the last surgeons of an era where one could master three specialties—orthopaedic, abdominal, and ear nose and throat—and some of his designed surgical instruments are still used today.
[8] In his time, some thought Lane a genius, while others disagreed, including Sir Arthur Keith who claimed him not clever but carried by faith.