![\"\"](\"https:\/\/blogs.rch.org.au\/alumni\/files\/2022\/11\/JustinKelly-264x300.jpg\")
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Last week, Dr Justin Kelly passed away peacefully in his sleep at St Vincent\u2019s Hospital Melbourne, where 4 generations of his family have worked. Just before turning in he left a voice message on his wife of nearly 59 years Elaine\u2019s phone \u201cI love you angel. I\u2019m going off to bed now. It\u2019s a quarter to midnight. I\u2019m so lucky to have you \u2014 it\u2019s amazing”.<\/p>\n
I lost an extraordinary friend, colleague and mentor.<\/p>\n
When Rembrandt died, in 1669, his work was regarded as insignificant and he was buried in an unmarked grave. His unique style and technical mastery was born of single-minded curiosity and an ability to focus within. He would try new ideas, critically evaluate them, and progress with brilliant, yet unrecognised, results. To quote Gregor J.M.Weber, who leads the department of fine and decorative arts at the Rijksmuseum: \u201cNow we think he\u2019s more or less a rebel, who always invented himself anew, who always changed his way of doing things. He struggled and fought against himself and also against the standards of his time.\u201d 1.<\/sup><\/p>\n Justin, as a surgeon, was similar. Having worked with him for over 35 years, I soon realised the artistic and technical pre-eminence beside me. As Weber observed, \u201cEvery generation has its own Rembrandt\u201d and, it is fair to say, Justin was such a once-in-a-generation figure.<\/p>\n Paediatric Surgeons are interesting humans.\u00a0 They work in the area of the rare and bizarre; face unique issues in many children and attempt complex and heroic operations to restore normal function. \u00a0Justin Kelly tackled the Everest of these problems with an intense desire to understand the issues and design radical solutions. His life work was centred around bladder exstrophy, where bladder, genitals and pelvic bones are born completely separate and exposed to the surface. Over 35 years he studied this problem intensely with a genuine desire to understand the issues and design radical solutions. He believed each child had their own unique anatomy and it was his task to understand their particular maldevelopment and tailor a solution accordingly.<\/p>\n Following his junior doctor years at St Vincent\u2019s in Melbourne, he fell under the spell of a wizard-like genius Douglas Stephens , Head of Urology Department at the Royal Children\u2019s Hospital. Douglas (a Tobruk WW II veteran) saw real talent in Justin and convinced him to research the disordered muscles in fetuses with complex ano-rectal anomalies. \u00a0In 1969 he published 2 seminal papers on the abnormal pelvis and anatomy in anorectal conditions. Justin then spent 3 years in Boston , trained to an international surgeon standard by the remarkable teachers Judah Folkman, Robert Gross and Hardy Hendren. \u00a0These surgeons were the envy of many centres around the world , providing Justin with a vast clinical immersion and technical surgical training.<\/p>\n Returning to The Royal Children\u2019s Melbourne in 1971 he commenced 38 years of service to the children of Victoria. He started treating all the difficult cases of feacal and urinary incontinence in children , wishing to enable them to go through school without soiling. This is hard , tedious and frustrating medicine with few easy solutions. He saw all his boys with bladder exstrophy in nappies and determined to do better.<\/p>\n The creative genius that he was, Justin thought, pondered and wondered whether the pelvic floor and sphincter muscles were still present in exstrophy, in the form of a flat sheet between the pubic bones and lying above the pelvic nerves. He reasoned that this tissue might provide a continent sphincter for these boys if mobilised and wrapped around the reconstructed bladder neck.<\/p>\n He went to the mortuary and dissected the infant pelvis time and time again until he understood where the dangers lay. He developed scoring systems for continence and critically appraised his results. \u00a0He then started a completely new technique in exstrophy\u00a0 surgery. \u00a0\u00a0The Kelly operation (where Justin would spend 6-8 hours with intense magnified vision) involved trying to find thin muscle and fascia overlying \u00a0the nerves to the genitals. He would rebuild the bladder and wrap this tissue around its neck trying to make continent sphincter. This is so hard that only a few surgeons, way beyond my skill level , can even attempt this operation. Very dangerous, where \u00bd mm dissection in the wrong area leads to impotence or an ischaemic penis.<\/p>\n Over the next few years he refined the operation and published the technique in 1995. The world reacted in disbelief. \u201cyou got lucky\u201d \u201cnot repeatable\u201d \u201ctoo hard to train others to do \u201c, \u201cour patients are more complex\u201d\u00a0 It went on. Justin buried his head in self belief and quietly kept going. Great Ormond Street in London was the centre for this condition in the United Kingdom and they became curious. They invited Justin to work there for 6 months in 1999 and show the technique.\u00a0 Only 2 of the 4 surgeons there could master the Kelly procedure but it caught hold and persisted . The long term results from this centre show markedly improved continence and function in the very difficult group.<\/p>\n In his final decade of practice , Justin travelled the world mentoring, commentating and demonstrating his operation in India, China, New Zealand and England. Always humble, he would gently encourage surgeons to understand the complex anatomy and think about the complex repair. Like Rembrandt,\u00a0 Justin\u2019s etchings were superb, he would simplify a 10 hour operation into 4 drawings that explained the exact anatomical repair.<\/p>\n On this journey, Justin quietly accumulated all the recognition of a surgical rock star. He was Chief of Surgery, President of the Australasian Society, Senior Examiner and Chair of the Board of Paediatric Surgery. The medals flowed: American Paediatric Surgical Society, The Coe medal, The Ghandi medal and the Australasian College of Surgeons \u201caward for excellence in surgery\u201d.\u00a0 He received the member of the order of Australia in 2003. This recognition made little impact on Justin. He kept thinking, writing and demonstrating his technique.<\/p>\n Justin was a complete delight to be around. Insanely funny, tears would be wept over his cat stories, love of opera and his unique family. He was immensely proud of his children and grandchildren and deeply involved in their lives. He was the consummate gentleman, always had time for every patient and very dedicated to his work. As he aged\u00a0 he continued to love the arts. \u00a0Social events with Justin and Elaine, his wife of nearly 59 years, meant witnessing\u00a0 a parody of sparkled banter, deepest affection and complete devotion.\u00a0 He was a superb dancer and throughout covid lockdown, even with his advancing Parkinson\u2019s, he continued dance therapy with physiotherapist and Elaine.<\/p>\n I always felt Justin had my back; Surgically his advice was thoughtful and inciteful. \u00a0Personally he cared for your wellbeing and development. Socially he was a complete hoot. He is the giant on whose shoulders we stand.<\/p>\n Vale Justin<\/p>\n <\/p>\n Chris Kimber FRACS<\/p>\n Paediatric Surgeon and Urologist<\/p>\n Melbourne November 2022<\/p>\n <\/p>\n Australia mourns the loss of Justin Kelly, perhaps our Rembrandt of Paediatric Urology? Last week, Dr Justin Kelly passed away peacefully in his sleep at St Vincent\u2019s Hospital Melbourne, where 4 generations of his family have worked. Just before turning in he left a voice message on his wife of nearly 59 years Elaine\u2019s phone … Continued<\/a><\/p>\n","protected":false},"author":244,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-2309","post","type-post","status-publish","format-standard","hentry","category-in-the-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts\/2309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/users\/244"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/comments?post=2309"}],"version-history":[{"count":2,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts\/2309\/revisions"}],"predecessor-version":[{"id":2312,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/posts\/2309\/revisions\/2312"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/media?parent=2309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/categories?post=2309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/alumni\/wp-json\/wp\/v2\/tags?post=2309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}1.\u00a0\u00a0 New York Times March 3, 2019, Rembrandt Died 350 Years Ago. Why He Matters Today<\/h6>\n","protected":false},"excerpt":{"rendered":"