A personal series of 170 children who underwent 636 operative procedures for hydrocephalus have been followed for 5–12 years. The results of treatment have been analyzed by etiology, years of follow-up, and summarized generally. 5-year survival was 83.5%, current survival is 78.8%. Normal intelligence was found in 63.4% of 5-year survivors, in 64.2% of current survivors. The procedural risk for early shunt infection was 5.8%, while 6.5% of the patients developed a late infection. There is no difference in results based upon measurement of the initial thickness of the cerebral mantle. The mean of the cumulative shunt procedures per patient is 3.72 ± (SEM) 0.37, and for 5-year survivors it is 3.85 ± (SEM) 0.39.

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Post-transplantation lymphocele ordinarily is an early postoperative complication that infrequently causes symptoms, which usually result from impaired renal function secondary to cortical compression or ureteral obstruction. We recently encountered a patient in whom a lymphocele developed following trauma 7 years after cadaveric transplantation. Attempts to drain the lymphocele externally resulted in massive fluid loss, which caused hypotension, hypoproteinemia and profound electrolyte imbalance. Control of the massive fluid loss was achieved by marsupialization of the lymphocele into the peritoneal cavity.

These complications have been described by Shepherd (1958).Recently we have learnt that another male, in Generation 11, died of bleeding from the bowel at the age of 54, having refused operation. It is presumed he had polyposis and possibly cancer. One of his sons has had a colectomy for familial polyposis, but none of these was malignant.Acknowledgements.-We wish to thank Professor P. E. s. Palmer who carried out the barium enemata on the four younger children. We are grateful to Dr. P. J. Barnard for histological reports,