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Packing of the nose with a suitable material remains a popular method of treating epistaxis. The authors report a serious complication of a new design of nasal pack; Rapid Rhino, which was swallowed during the treatment of a patient with epistaxis, resulting in bowel perforation.

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SummaryThe results of 250 cadaver kidney transplants performed at this hospital between May 1968 and December 1974 were analysed. A functioning transplant was defined strictly as one that maintained the recipient in good health with a serum creatinine below 442 pmol/l (5 mg/ 100 ml) without any need for dialysis. The proportions of kidneys functioning after one, two, and three years were 40 40, 33.9%, and 31 1% respectively, the corresponding survival rates of patients being 62 6%, 57*40°, and 43-8%.The primary failure rate overall was 216/o, while the failure rates for first, second, and third transplants were 18l1%, 3999%, and 66 70o respectively. Half of the primary failures were attributed to the use of cadaver kidneys with abnormal vasculature or long ischaemic times or originating from non-ventilated donors. Of the initially successful transplants 49%o were subsequently lost due to rejection (53°h) or death of the patient with a functioning transplant (46%), and of the secondary losses 58% occurred within three months of transplantation. HLA matching of donor and recipient for two or more antigens was associated with a significant increase in transplant survival-460' at three years as opposed to 9 5% at three years for kidneys with poorer matches.