Adults need to have inguinal hernia repair surgery in the following situations. 1  Hernias that contain a loop of intestine without blood supply (strangulated hernias) require emergency surgery. Hernias that contain a loop of intestine without blood supply (strangulated hernias) require emergency surgery. 2  Hernias that contain a trapped loop of intestine (incarcerated hernias) need to be repaired as soon as possible to avoid strangulation.
These are known as KVI (Known Value Items). These are sold in two ways. Normal KVIs virtualy have a price fixing agreement (which is illegal and known as a cartel). In effect everyone fixes their price to the market price so there is no advantage in going to a cheap shop for them.
INTRODUCTION. Multichannel intraluminal impedance (MII) is a new technique designed to detect intraluminal bolus movement without the use of radiation.It is generally performed in combination with manometry or pH testing.ombined with manometry (multichannel intraluminal impedance and manometry; MII-EM) it provides information about both pressures and bolus transit within the esophagus. Combined with pH (multichannel intraluminal impedance and pH; MII-pH) it permits detection of both acid and non-acid gastroesophageal reflux.