Stip surgery has about 80 years of tradition. This tradition mainly begins with the construction of the current main building of the hospital in the distant 1939. Then for the first time, real conditions were created – spatial and staffing, appropriate for that time period – during which interventions were characteristic for that time. Surgical operations were also performed previously, especially during the Balkan and World War I, for which there is no official records, and from here, starting with the operation of the then made hospital, I consider it a beginning of the surgery in Stip. From then till today a large number surgeons and appropriate medical and other staff worked at the surgical department in Stip, where many patients were treated and operated.
As the world surgery and anesthesia changed and improved, gradually these methods of operation were introduced in our country. We expect better working conditions by completing and putting into operation of the building of the new clinical hospital.
My beginnings of surgery in Stip have been since 1986 and I would like to emphasize the way of work for this period to this day, as well as the dominant pathology of surgical treatment in our hospital. This period can be divided into two parts:
The first period is until 2000 when classical operations were carried out and the period after that with the arrival of the Japanese aid, when laparoscopic surgery was introduced, that is, surgery where the surgery was performed without tools through the appropriate openings. At the same time, the reconstruction of the knives was done with a polypropylene network. At that time, the orthopedics service was separated, and after a decade the urology department was also separated. Now within the Stip surgery the departments of neurosurgery, maxillofacial surgery, thoracic surgery and plastic surgery. For all these decades, pathology varies in nuances, while changing the way of operation according to world achievements.
The most common are planned operations such as the surgery to remove the affected gallbladder from the stones and repair operations of various types of knives. Their number is from 200 to 300 per year. Also, 150 to 200 cases are the urgent operations of which the most common are: removal surgery due to inflammation, surgery due to gastric ulcer and duodenal ulcer, operations due to various conditions of small and intestinal disorders, bleeding operations caused by injuries commonly caused by road accidents. In several dozen cases the operations are due to a malignant disease, most often on the colon, stomach and breast. For all these decades, Department of Surgery in Stip has 900 to 1000 patients a year, and conservatively ie without surgery they are treated about 200 to 300 patients. These are cases that are administered during the onset of pain and vomiting, and after appropriate therapy and tests have been performed, it is concluded that the condition subsides and there is no need for surgery at the moment or should be delayed to do. This also includes patients admitted for an injury, which after the trials have concluded that there is no need for surgical treatment.
Over the last decade there has been a downward trend in stomach ulcer surgery due to improved medication and better nutrition and fewer echinococcal cysts (liver cane) in the liver due to better hygiene habits. To reduce the number of these operations, deserving and new and better diagnostic procedures.
At a higher level of health care, very few cases are sent, after several months. However, the exact number of patients treated from the eastern region through the appropriate surgical facilities in Skopje is variable because a certain number of patients go to Skopje for treatment in a direct way through the family doctors.
We should mention that several thousand small interventions in local anesthesia are performed, and these are various suttures due to injuries, infections due to inflammation, removal of small benign formations, and more.
Stip surgery is a highly secure surgery with an insignificant number of complications that fits into the worldwide surgery of middle-developed and developed countries. This security has been created through the long-standing tradition and recognition of surgeons, with patients from the region and wider indicating the trust for treatment.