Michael Edwards

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Michael Edwards is a recently-retired consultant general surgeon from Woodlands Hospital, Darlington, DL1 4PL, United Kingdom.

He has developed several educational tools for use in surgical training.

He is a convenor on the Surgical Skills Courses at St James's Hospital, Leeds, United Kingdom.

He is a member of the Editorial Board of the Knowledge and Skills Website of the Royal College of Surgeons of Edinburgh.

He is Web Editor of Wikisurgery.


Robingate Aldbrough St John Near Richmond North Yorkshire DL11 7TD UK

Tel/Fax 44 (0)1325 374 626. E-mail [email protected]




1964 M.B, ChB, Liverpool University Medical School

1969 Fellow of the Royal College of Surgeons of England

1969 Fellow of the Royal College of Surgeons of Edinburgh

1974 Specialist in General Surgery


1964 Professorial House Surgeon and Physician, Liverpool Royal Infirmary

1966 SHO Casualty, St Thomas's Hospital, London

1967/8 Surgical Registrar, Bradford Royal Infirmary

1968/9 Surgical Registrar, Brompton Hospital, London

1969/72 Registrar and Lecturer in Surgery, Kings College Hospital, / London

1973/78 Senior Registrar, University Hospital of Wales, Cardiff

1978 to 2000 Consultant General Surgeon at the Friarage Hospital,

       Northallerton, North Yorkshire UK and at the Memorial Hospital, 
       Darlington, Co Durham, UK 

2000 to date Honorary Consultant General Surgeon at the Friarage Hospital,

       Northallerton, North Yorkshire UK

2000 to 2004 Consultant General Surgeon in private practice at Woodlands

       Hospital,Darlington, Co Durham  

2007 Web Director Wikisurgery (www.wikisurgery.com)


For over twenty years I worked in busy district general hospitals.

I have extensive experience in upper and lower alimentary tract surgery, biliary, endocrine, breast. I have extensive past experience of vascular surgery.

I have recorded my experience in the form of unique expert operative surgical scripts covering most operations in general surgery.

I am able and willing to adapt to the latest improvements in surgical management and techniques, while maintaining the standards gained over the years.


Minor surgery is an integral part of general surgery.

I have made a multimedia interactive training CD for training in minor surgical techniques.

I have written a very detailed practical script for training in the removal of skin lesions.

I have spent many years training surgical staff in minor surgery.


For more than 20 years, I have been writing comprehensive, customisable information leaflets for patients. In Scalpel Information Systems, I work with a team of authors who have produced the largest range of such leaflets covering over 400 operations. Some examples of shortened versions can be viewed on www.surgerydoor.co.uk

I am the editor for Dumas Ltd, working on new information based on informed consent for patients. (See www.ipinfo.com)


I have developed unique customisable surgical scripts called Pantogens. They aim to contain all the expert information that a surgeon uses during an operation (perhaps 20 times the information of an operative surgical textbook). By complementing traditional teaching methods, they may help solve the lack of expertise that appears to handicap the surgical trainee of today. Each script consists of an unlimited number of very small steps. Each step is backed up by an unlimited amount of information, organised in a number of useful categories. I have written scripts for over 50 different operations. Interactive multimedia versions on CD-ROM cover basic skills and basic open and basic laparoscopic operations. Two CD-ROMs qualify the user for Continuing Medical Education points with the American Medical Association. Samples of the scripts are being present on the Royal College of Surgeons of Edinburgh website (www.surgicalscripts.com) The scripts can be modified to suit any surgeon. The structure is suitable for any operation. Pantogens are the equivalent of a pilot’s flight manual, an actor’s script, or a soloist’s musical score.


I was instrumental in the introduction of the quality control standard ISO 9002 to the operating theatres in Northallerton, one of the first in the UK.

Pantogen scripts, which contain details of all instruments, equipment and materials, plus checking, assembly, use, and problem solving, are an ideal way of keeping a high level of quality assurance in the operating theatre. As new techniques, equipment and materials are used and new problems are solved, notes are made in the scripts to keep the information up to date all the time. Printouts are available to all members of the theatre team.

Used in this way, pantogens are equivalent to industrial Standard Operating Procedures.


The effectiveness of pantogens is being tested scientifically in Sheffield in the training of junior surgeons in varicose vein surgery.

The scripts are suitable for research into areas of operative surgery, such as colon surgery, where the outcome of operations by a group of surgical experts could be correlated with their detailed surgical techniques.


Association of Surgeons of Great Britain and Ireland Association of Endoscopic Surgeons of Great Britain and Ireland British Medical Association


  1. The potentiating effect of X-irradiation on the induction of experimental tumours in mice. UNGER A., BAUM M, and EDWARDS, M.H. Br.J. Surg. 1971, 58 303.
  2. Relation between plasma-cortisol, plasma-androgen-sulphates, and immune response in women with breast cancer. MACKAY W.D., EDWARDS M.H.,BULBROOK R.D. and WANG Y. Lancet, 1971, 11, 1001-1002.
  3. Treatment of early breast cancer: the organisation of a 'National Trial'. EDWARDS M.H., BAUM M. and MAGAREY C.M. Br. J. Surg , 1972, 59, 776 - 777.
  4. Regression of axillary lymph nodes in cancer of the breast. EDWARDS M.H., BAUM M. and MAGAREY C. J. Br. J. Surg. 1972, 59, 776-779.
  5. An epicardial cyst: a case report. EDWARDS M.H. and AHMAD A.Thorax 1972, 27, 503-506.
  6. The organisation of a clinical trial on a national scale. Management of early cancer of the breast. BAUM M., EDWARDS M.H. and MAGAREY C.J. Br. Med. J., 1972, 476-478.
  7. Early breast cancer, bone scanning and urinary excretion of hydroxproline. SUMNER D.S., BAUM M., PARSONS V. and EDWARDS M.H. Br. J. Surg. 973, 60, 306.
  8. Macrophage phagocytic activity in patients with breast cancer. BAUM M.,SUMNER D.S., EDWARDS M.H. and SMYTHE P. Br. J. Surg.1973, 899- 900.
  9. Regression axillary lymph nodes in cancer of the breast. BAUM M. and EDWARDS M.H. Therapeutiques non mutilantes des cancereuses due sein. P285 -289 (chapter in a book). Masson et Cie., Paris 1973.
  10. Selective vagotomy of the canine oesophagus - a model for the treatment of hiatal hernia. EDWARDS M.H. Thorax, 1976, 31, 185-189.
  11. Management of 'early' cancer of the breast. Report of an international multicentre trial supported by the Cancer Research Campaign. Br. Med. J. 1976,1, 1035-1038.
  12. Pilonidal sinus: a five year appraisal of the Millar-Lord technique.EDWARDS M.H. Br. J. Surg. 1977, 64, 867-868.
  13. A multicentre trial for the treatment of pilonidal sinus: gauze packing versus silicone foam elastomer dressing. WOOD R.A.B., WILLIAMS R.H.P., MASON M.C., EDWARDS M. H., GOODALL P. and HUGHES L.E. Br. J. Surg 1978, 65, 828.
  14. Early results of subcutaneous mastectomy with immediate silicone prosthetic implant for carcinoma of the breast. WARD D. and EDWARDS M.H. Br. J. Surg. 1983, 70, 651-653.
  15. Mastectomy Nursing. EDWARDS M.H. Update for General Practitioners 1983, 1679-1684.
  16. The association between lowest palpable pulse and wound healing in below knee amputations. O'DWYER K.J., EDWARDS M.H. Ann R.Coll Surg. Engl. 1985 July, Vol: 67 (4), p232-4.
  17. Computer aided diagnosis of acute abdominal pain: a multicentre study.ADAMS I.D., CHAN M., CLIFFORD P.C., COOKE W. M.,DALLOS V., De DOMBAL F. T., EDWARDS M.H., HANCOCK D.M., HEWETT D. J., McINTYRE N., et-al. Br. Med. J. (Clin Res)1986 Sept 27, Vol: 293 (6550), p800-4.
  18. Is the facial expression of the acute abdominal pain patient of diagnostic value? EDWARDS M.H., FINNIE S.M., McMORLAND T.D.,PEARSON J.M. Zeitschrift fur Gastroenterologie (Suppl. 1) 1986;XXIV, p54.
  19. A comparison of Enprostil and Cimetidine in the treatment of duodenal ulcer in the U.K. NORTHFIELD T.C., JAZRAWI R., REED P.I., SALMON P.R., HOARE A., COCKEL R., SCHILLER K., EDWARDS M.H., TREWBY P.N., MOUNTFORD R.A., DAWSON J., ELIAS E., QUERESHI M.S.A. and MILLAR J.P. Alimentary Pharmacology and Therapeutics August 1988, Vol: 2 (4), 353-9.
  20. Complicated colonic diverticular disease in two young adult brothers. GRAINGER R., EDWARDS M.H., and J R. Coll. Surg. Edinburgh. 1987 August, Vol:32 (4), p255-6.
  21. An easy way to satisfy the surgical patients needs for information.British Journal of Surgery April 1990 Vol: 77 (4), p463-5.
  22. Communicating with Patients. EDWARDS M.H. Medical Audit News September 1991, Vol: 1, No 5, p69-70.
  23. Pilonidal Sinus. EDWARDS M.H. Surgery 1992, edition 10, Vol:12,p283-285.
  24. A comparison of Omeprazole and Ranitidine in the prevention of recurrence of benign oesophageal stricture. EDWARDS M.H. et al Gastroenterology 1994 , Vol:107, p1312-1318.
  25. Scalpelfax; A new universal language, a new literature and a new multimedia training tool for operative surgery on CD-ROM.EDWARDS M.H. and TRIGWELL P.J. Surgery 1995, February Vol:13:2 p36a-36c. The Medicine Group (Journals) Ltd.
  26. Surgery on CD-ROM: a software engineer at the cutting edge.TRIGWELL P.J. and EDWARDS M.H. Br J Healthcare Computing & Information Management 1995, July, Vol 12:6 p26-7.
  27. CurrentTechniques* in Surgery. Open Repair of Inguinal Hernia (Open) on CD-ROM EDWARDS M. H. 1995 email [email protected]
  28. Surgery on CD-ROM: A cut above the rest? EDWARDS M.H. and TRIGWELL P.J. Surgery 1996, The Medicine Group(Journals) Ltd.
  29. Surgery on CD-ROM: Creating a CD-ROM from scratch. EDWARDSM.H. The Electronic Author 1995, No 6 Winter, p2-3.
  30. CurrentTechniques* in Surgery. Laparoscopic Cholecystectomy on CD-ROM EDWARDS M. H. 1997 email [email protected]
  31. PrimeSkills in Surgery on CD-ROM M.H.EDWARDS and TRIGWELL P.J. 1999 Scalpel Information Systems Darlington
  32. From protocol to pantogen and pantino: customisable surgical scripts with all the expert information. EDWARDS M.H. Hospital Medicine 2001, April Vol 62, No 4. p 232-234.
  33. Pantogens – Customisable surgical scripts + information for patients + consent forms 2002. Royal College of Surgeons of Edinburgh. 2002 www/rcsed.ac.uk/publications/publist.asp
  34. An alternative approach to skills training. EDWARDS M. H. Surgeonsnews 2003,January Vol 2, Issue 1. p 92- 94.
  35. Eliciting and storing operative information from expert surgeons using surgical scripts. EDWARDS M.H., COUGHLAN J.and MORAR S.S. International Journal of Surgery 2007,August Vol 5, Issue 4. p 267-272.
  36. User interface evaluation of a multimedia CD-ROM for teaching minor skin surgery. AHMET J.S., COUGHLAN J.,EDWARDS M.H.and MORAR S.S. Journal of Behaviour and Information Technology 2007 In press.


Robin Knox is senior consultant vascular surgeon at Harrogate District Hospital, Lancaster Park Road, Harrogate, HG2 7SX United Kingdom

He has over 20 years experience of aortic surgery, both elective and emergency.

He is a vascular tutor on the Intercollegiate Surgical Skills Courses at St James's Hospital, Leeds, United Kingdom.

He is a member of the Vascular Society of Great Britain and Ireland.