Welcome to Richter Sand! 1  Richter Sand is a sand & stone supplier that was established in 1996 and has been in operation ever since. The enterprise consists of a well-groomed family business, with the second generation taking over. The directors has more than 25 years collective experience in the business of mining and supply of sand and stone, to the building industry and other enterprises in and around Pretoria. The business has grown from transporting of sand to supplying of sand to other transporters.
Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure to create new connections between two blood vessels in your liver. You may need this procedure if you have severe liver problems. Reference from A.D.A.M.
The increased blood flow to the kidneys will not injure them and in fact can lead to an overall improvement in kidney function in some patients with cirrhosis. A TIPS device is most commonly placed in a patient with chronic liver disease resulting from cirrhosis or scarring of the liver. TIPS were originally employed in patients as a âbridgeâ to liver transplantation.