Dr. Wilfred Perera




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By Gone Days Memoirs of a Gynaecologist 

By: Language: English LanguagePublication details: Author 2015Description: 148p

ISBN:

  • 9789559710240

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Courtesy Business Today
A Self Made Man

Professor Wilfred Perera is one of Sri Lanka’s pioneering obstetricians and gynaecologists who has worked tirelessly towards upholding the rights of women in Sri Lanka.


By Keshini de Silva
Photography Vishwathan Tharmakulasingham


“We were a different generation of doctors,” said Professor Wilfred Samuel Emmanuel Perera as he reminisced about his career at the milestone of his 90th birthday. As a self-made man, Prof Perera has left a lasting mark on the country’s medical profession. Married for 60 years, he has three children, seven grandchildren and a great grandchild. Born to Marcelline Perera and Josephine Perera; he attended St Aloysius College in Galle, later becoming the school’s first student to enter the medical faculty of the University of Ceylon. Following a brilliant academic career, he attained a MBBS with honours in 1952, topping his batch. He completed clinical training at the De Soysa Hospital for Women and qualified as a Consultant in Obstetrics and Gynaecology in Liverpool, London. This being an achievement under the guidance of Prof Charles Wells – his trainer in Surgery, and Prof T N A Jeffcoate – his trainer in Obstetrics and Gynaecology. In 1973, Prof Perera became a Fellow of the Royal College of Obstetricians and Gynaecologists UK.

At Walton Hospital in Liverpool, Prof Perera authored a research paper on the management of abortions which was published in the British Medical Journal in 1961. Today, the legalisation of abortion is still an issue close to his heart. “I continue to write and lobby towards the legalisation of abortion in Sri Lanka. Currently, 1,000 illegal abortions take place in the country everyday. This is equal to the 1,000 births occuring daily. Many mothers die due to infections and complications. Therefore as a gynaecologist who took an oath to take care of women, especially during child birth, I cannot be silent on this matter. This is a significant issue that the country must address.”

Prof Perera performed the first Wertheim’s Hysterectomy for cervix cancer at the De Soysa Hospital and Maharagama Cancer Hospital, with Anaesthetist Dr Thistle Jayawardena. Whilst working as the Consultant of Obstetrics and Gynaecology at the state level, he provided services through a private practice at home too.

“We Must Protect And Empower The Women Of Sri Lanka. Or Else What Is The Point In What We As Medical Practitioners Do?”

In the 1980s Prof Perera played an important role in the field of private medical education, being part of the establishment of the North Colombo Medical College. As well as being the founding Professor of Obstetrics and Gynaecology, he was also the Head of that Department. During a course of 15 years, NCMC trained 850 medical students; many are at present Consultants and Professors in various fields. Prof Perera stated, “Medical education is a must as WHO deems we should improve Sri Lanka’s doctor-patient ratio. Sri Lankan medical education is also not on par with technology available globally. Therefore, we do need private medical colleges. We established NCMC, which was nationalised and became the medical faculty of University of Kelaniya. I taught there for 15 years and our students do very well, some of them have become the country’s leading surgeons and consultants. In fact, I am the oldest obstetrician in the country at present.”

He has since been involved in training obstetricians and gynaecologists in both Sri Lanka and overseas. Looking back on his illustrious career and the medical profession, Prof Wilfred Perera adds, “We must protect and empower the women of Sri Lanka. Or else what is the point of what we as medical practitioners do?”

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A Family Photograph


The Karava people of Sri Lanka's post

Professor Wilfred S E Perera MJF, MBBS, FRCS(Ed), FRCS (Eng), FRCOG, FSLCOG, FAOFOG, FSLCS, Hon-FCGP (SL) distinguished Past President of the SLMA and a pioneering obstetricians and Gynaecologist of Sri Lanka.
Born as Marcelline and Josephine Perera's son Wilfred Samuel Emmanuel Perera, he attended St Aloysius College, Galle, and became the school’s first student to enter the Medical Faculty.
He topped his batch in 1952, obtained a MBBS with honours, completed clinical training at the De Soysa Hospital for Women and qualified as a Consultant in Obstetrics and Gynaecology in Liverpool, In 1973, he became a Fellow of the Royal College of Obstetricians and Gynaecologists UK.
He played an important role in the 1980s to promote private medical education by participating in the establishment of the North Colombo Medical College (NCMC). Politicians subsequently nationalised it and its now the medical faculty of the University of Kelaniya.
As a Gynaecologist who has taken an oath to take care of women, especially during child birth, refuses to be silent about illegal abortions and continues to write and lobby for the legalisation of abortion in Sri Lanka.
Currently, 1,000 illegal abortions take place in the country everyday. This is equal to the 1,000 births occuring daily. Many mothers die due to infections and birth complications but Sri Lanka hasn't addressed this significant issue yet.
In November 2012, with a substantial donation made by him, the SLMA established the Prof. Wilfred S.E. Perera annual Travel Award in Bioethics. Married for 60 years, he has three children, seven grandchildren and a great grandchild.
Grateful thanks to Keshini de Silva.

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Prof. Wilfred Perera

TO SIR, WITH LOVE

Professor Wilfred S.E. Perera, our beloved guru and mentor and a leading light in the field of maternal and gynaecological care in Sri Lanka for well over four decades, celebrated his 90th birthday on June 15.

The humble and unpretentious great man did so amongst his close-knit family, friends and grateful students, who cherish the privilege of being tutored by an extraordinary man of knowledge, talent, kindness and humility.

Prof had his primary education at St. Aloysius College, Galle. Both his parents were teachers and the ethics of hard work and discipline were instilled early in him and his siblings. His dedication for learning was such that, as he later recalled, when home lights were switched off at night, he would sit under a nearby street lamp to continue his studies.

Having entered Colombo University’s Medical Faculty, his brilliance was apparent from the beginning. Many First Classes and gold medals were to follow and he was off to the United Kingdom, with his eyes set on becoming a general surgeon.

Following a fellowship in surgery and upon returning home in his early twenties, his career destiny would change on a chance encounter with Professor Sir Nicholas Attygalle, the much-feared Professor of Obstetrics and the Dean of the Faculty of Medicine.

On hearing that his star student had decided upon a career in general surgery, he commanded and coaxed him to change his mind into a career in his speciality, Obstetrics and Gynaecology. Prof would fondly reminisce of Sir Nicholas as a ‘man with a heart of gold, in spite of his being widely known as a highly authoritative ‘terror’. Membership and training in the speciality would follow and general surgery’s loss was the gain of maternity and gynaecological care in Sri Lanka, for many decades to follow.

To say that Prof’s clinical acumen and surgical skills were exceptional is an understatement. Anecdotal instances of us students and then registrars looking at each other in incredulity upon his diagnostic skills on examination of a patient abound. There was no need for ultrasonic confirmation as he was never wrong. It is sad to recall the demise of such diagnostic skills that have been now replaced by imaging techniques. Modern generations of medical professionals will never know the exceptional diagnostic ability possessed by clinicians of Prof’s calibre and genius.

His surgical skills were legendary and we in our long association with him as students, registrars and later consultants, cannot recall a single instance of his being overwhelmed by a surgical situation. Those were the days of radical malignancy surgeries and he set upon surgeries such as Wertheim’s hysterectomy, Schauta and Mithra procedures and radical vulvectomy with aplomb. His skill and speed in such surgeries was exceptional and his professorial unit at North Colombo Medical College became a well-known referral centre for such radical surgeries. Prof would never decline if surgery was even remotely possible. Complete surgical cure was the rule before being transferred to the Cancer Institute for further management.

Despite being an exceptionally busy professorial unit, ours was a happy team where committed hard work was the norm. Morning ward rounds were a long lesson in clinical learning and a gentle nod or a smile from Prof was reward enough for a long evening and a night’s hard work for us trainees. Prof never shouted or scolded, but we would work hard to avoid disappointment in his face. His method was simple - hard work by example, and we were keen not to disappoint the great man.

Prof’s reputation as a surgeon and a clinician was international. Our little island was then blessed by two internationally acclaimed talents in the art of gynaecological surgery, the other being Prof. Henry Nanayakkara. During our post-graduate training in the United Kingdom, many of us recall being asked by the bigwigs of gynaecology in the UK, of these professors’ well-being. These top gynaecologists took pride in knowing them personally and having seen them in action, and we took pride in being associated with them.

If ever there was anyone who shied away from obvious glory his reputation would bring, that was Prof. I recall an instance where a particularly difficult radical surgery was performed on a patient closely known to another famous professor. At the tea break following the surgery, he announced that he and another reputed clinician agreed that Prof must be the best gynaecological surgeon in Asia. With a guffaw, Prof was out of the tea room in a flash and into the operating theatre, embarrassed at such praise. That was Prof personified.

It is easy to keep reminiscing of the clinical and surgical skills of this great surgeon, but I am certain all who know him would agree that his hallmark and his greatest gift to us is his absolute humility. In spite of his iconic status, he probably never thought or felt he should live up to it. Anyone who met him not knowing who he was, would never guess he is anything other than a simple, friendly and kind man.

Whether as the young gynaecologist of repute, internationally known professor of gynaecology or in peaceful retirement, his demeanour never changed. With his gracious broad smile, your hand clasped in both his hands and with childlike eagerness to inquire of your well-being, he would greet you, whoever you are. His obvious glee to know you are well and deep concern if all was not well, made him a friend and a father figure to everyone who knew him. How nothing he achieved in his lofty life ever affected his simple ways is appreciated by us as his greatest virtue. His genuine love for humanity and his sense of duty make him attend every lecture, presentation, event or inauguration, encouraging the organisers and presenters of the event.


Rita, his beloved wife and life partner, passed away a few years back, affecting all of us who knew her, and Prof in particular. She was an amazing lady, in step with him in everything that was good of him. She was friendly, unpretentious, kind and generous to a fault. Her pretty face was always lit up with a genuine smile and a large portion of her very active life was dedicated to the welfare of others. The handsome and benevolent couple helped a large community of relatives, friends and less fortunate people to stand up in life, taking them under their wing and providing shelter, support and education over prolonged periods of time. Prof, following Aunty Rita’s demise, continues her duties of generosity to date.

Prof’s is a family of academia and music. The great Sunil Shantha was his cousin. Prof’s love for music is well known and his renditions of beautiful and lesser known Sinhala songs of yesteryear is a much looked forward to feature of gatherings.

What appears an enchanted life was no bed of roses either. He too, like all mortals, had to face up to deep personal pain in his lifetime. The loss of his beloved daughter to an unexpected illness in her teenage years, loss of his loved brother at the high point of his career as a High Court Judge following a road accident, and subsequent demise of his beloved wife were some of them. His overcoming such travails through resolute courage speaks volumes of the man. In short, he is a man with a wonderful mission - to serve humanity to the best of his ability as long as he can.

His three children too need special mention. They have inherited their wonderful parent’s gift of graciousness and humility. They, with their families, are a huge strength to Prof, and the excellence in academia and music continues.


On this very special occasion of his 90th birthday, we his ever-grateful students, friends, relations and all who enjoyed the experience of his genius and benevolence, rise to wish him many more years of good health and happiness and thank him for the privilege of being touched by a very special human being.

Sudheera Uduwela


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Courtesy

https://colombomedgrads1962.blogspot.com/2021/04/the-year-of-internship.html

Extract from THE YEAR OF THE INTERNSHIP- KUMAR GUNAWARDENE- PART 1

" Dr Ganeshan was transferred after three months, and there arrived Dr Wilfred Perera one of the most remarkable medical men I have  encountered in my practice in four countries  in four continents. A brilliant clinician, he was  also one of the best surgeons whom I have  worked with; this includes the  many skilled  cardiac surgeons with  whom I as associated. Once he performed an urgent hysterectomy (removal of the uterus) in  about  ten  minutes on an eighteen-year-old  girl.  She was virtually bleeding  to death after giving birth to a child.  We inserted saline and blood infusions into every  available  vein and sprinted to the theatre with  the trolley on which she lay moribund. What a pleasure it was to meet the  plump teenager  a month later   with  the  infant  clinging onto her breast. He also performed the most complicated of all gynaecological operations, the Wertheim's operation  faster  than anyone  else. I still can picture the dissected  pelvic  organs  displayed as  in an anatomy text."

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