Molecular Laboratory

In the active part, a lecture and promotion of the Maglumi X3 device was held. Some of the presentation subjects were: Laboratory medicine of atherosclerotic heart, Dyslipoproteinemia in patients with type 2 diabetes mellitus in chronic hemodialysis, Cardiac biomarkers and prevention, etc.

Last year, we removed uterus weighing 1200 grams. Laparoscopists which remove uterus weighing over 1000 grams are called “Lions-laparoscopists”. Usually, these uteruses are operated in classic way with an operative incision. In our hospital, this is done laparoscopically.
The patient left the hospital in two days.

This time we have a medal winner. Our nurse Snezana Dmitrovic got a bronze medal for winning the third place.

“Supporting sports and healthy habits must be part of our daily lives”, said our race participants. In addition to the constant patient care, they participate in many sport events in the country and abroad.

Dr. Tashe Trpchevski and Stefan Matik took active participation in the congress with their presentations. During the sessions, they presented specific cases which are part of the work experiences at Hospital “Plodnost”.

The attending doctors applauded for their speeches – examples of success in very difficult cases of surgery and IVF, which makes them unique in the region.
Congratulations to our team, which worthily represents Hospital “Plodnost” all over the world.

The laparoscopy surgical team of Hospital Plodnost led by Dr. Hristijan Trpcevski, performed a total removal of the uterus with sentinel marking of the lymph glands with indocyanine green, in a 73-year-old patient. Lymph glands in the lesser pelvis were also removed.

“The main problem in this case is that the patient is short, weighing 130 kg. Excess weight makes such patients more difficult to be operated laparoscopically. We successfully performed this procedure laparoscopically, which is a great benefit for the patient despite the huge body mass. With classic surgery, recovery would have been very long. The patient left the hospital on the third postoperative day. Although the laparoscopic approach in this case was more difficult for us, for the patient it is certainly much easier. Our goal is to relieve patients. We used the advantage of laparoscopic marking of the lymph glands with indocyanine green contrast, a method which in North Macedonia is applied only in Hospital Plodnost.” said Dr. Hristijan Trpcevski.

This is just another great success in the series of recent successes and new methods, which in our country are only performed in Hospital Plodnost.

The delivery was done by caesarean section. The patient got through pregnancy very well considering her age.
Your dreams become reality – only in Hospital Plodnost.

The medical team, led by Dr. Hristijan Trpcevski, successfully removed the entire fibroid in one act without any complications. Otherwise, fibroids smaller than 3 cm in the uterine cavity are already a routine procedure for us. This fibroids size of 5 cm is a “cut off” for hysteroscopic removal. The patient left the hospital after only 5 hours.

The most common surgeries that the laparoscopic technique can do are,

Colon surgery
Anti-reflux surgery
Gall-bladder surgery
Stomach Surgery

The main goal of Laparoscopic surgery is to diagnose and identify any abdominal or pelvic issue by examining the organs in the two specific areas.
Advantages of Laparoscopic Surgery
Now that we have discussed the Laparoscopic surgery procedure, it’s time to break down all the advantages of this procedure.

Fast Recovery and Less Pain

One of the essential benefits of Laparoscopic surgery is that you do not feel any pain because the surgeons usually give their patients general anesthesia. And even after the surgery is done, the patients do not have to take painkillers because the recovery process is speedy. It is one of the main reasons people prefer this technique over traditional open surgery.

Another benefit of the Laparoscopic technique is that the surgeon does not have to cut muscle to get to the specific surgery site where the primary diagnosis happens. If the surgeon does not have to cut muscle, it means that there is very minimal tissue cutting and scarring that recovers very fast. 
However, you need to make sure that the hospital you select does not use the Laparoscopic conventional technique because it can increase the recovery time and scars. You can check out Plodnost, which is the best hospital for Laparoscopic surgery in Macedonia.

Short Hospital Stays

Standard laparoscopic surgery takes one-hour maximum and does not involve any invasive operational techniques, so the patient does not have to stay in the hospital sometimes. And even if the laparoscopic surgery is more than one hour, the patients do not say more than a day in the hospital.

No to Minimal Internal Infections

However, there is too much misconception associated with IVF, so we will talk about the 12 things you should know about IVF success rates today. We will also talk about the best hospital to get fertility treatment with more than 54% IVF success rates.
1. IVF can be a time-consuming procedure.
IVF or in vitro fertilization involves extracting the eggs out of a woman’s body and combining them with sperms, which can be time-consuming. Even though a woman’s egg cycle is 28 days, the patient has to get hormonal stimulant shots to produce more mature eggs every 10-12 days.
2.  Age can impact IVF success rates.
Age can highly impact the IVF success rates because the fertility rate starts to decrease in the 30s, and similarly, in the 40s, it is very difficult to get pregnant. So, the best age to get the IVF treatment is in the 20s or early 30s.
3. Frozen embryos are better.
Most people do not know that frozen embryos can enhance the IVF success rates up to 50% because they are more stable and ready for survival.

4.  IVF can be of different types.
Another important thing to know about IVF treatment is that there are many types of this technique, including natural IVF, mild IVF, and high drug-intensive IVF. The doctor will suggest you a suitable IVF after examining your condition.
5. IVF is not taboo.
First, we want to tell you that women’s fertility decreases with time because the quality of eggs reduces, so couples tend to seek IVF treatment more than you can imagine. According to statistics, more than 12% of women between 15 to 49 have fertility issues.

Tobacco use
Alcohol consumption
Excessive caffeine intake (more than three cups a day)
Marijuana usage
Long term exposure to pesticides or other toxins

If you are experiencing any of these issues, it is best to get them corrected before undergoing an IVF treatment at PLODNOST Hospital. Fortunately for men who have already started trying through natural methods, improving sperm health can be fairly simple and inexpensive! All that is needed is a good multivitamin (aim for a higher zinc content) and some dietary changes.
Reduce Your Stress
Another important aspect of IVF success is reducing your stress. While this may seem like an impossible task, there are many things that you can do to combat the high levels of anxiety and depression associated with an infertility diagnosis. Some simple tips include:

Exercise regularly (any exercise will be beneficial)
Eat a healthy diet with less caffeine, alcohol, and processed sugars
Quit smoking if applicable
Limit the amount of time you are spending on your laptop or phone (try to avoid large amounts of screen time)

We provide answers to frequently asked questions that we encounter in practice with patients who have infertility problems. The answers are based on the knowledge of the British Society for Infertility and the Association of Reproductive and Clinical Scientists who created this paper in response to questions patients asked about Covid-19 vaccines and infertility (February 2021).

Should people of childbearing potential receive the Covid-1 9 vaccine?
Answer: Yes
Explanation: People of childbearing age are advised to get vaccinated when they receive a vaccination invitation. This includes those who are trying to have a baby, as well as those who are considering having a baby, whether it is in the near future or in a few years.

Can any of the Covid-19 vaccines affect fertility ?
Answer: No
Explanation: There is absolutely no evidence and no theoretical reason that any of the vaccines can affect fertility in both women and men.

Can I get the Covid-19 vaccine during infertility treatment (IVF, frozen embryo, egg cells, sperm, ovulation induction, insemination, use of donated gametes, etc.)?
Answer: Yes
Explanation: You may need to schedule a vaccination time for Covid-19 during your infertility treatment considering that some people may experience annoying side effects a few days after vaccination that they do not want to have during of treatment (injection site pain, fever, headache, muscle aches, or feeling tired).

Should I delay infertility treatment until I get the Covid-19 vaccine?
Answer: No
Explanation: The only reason to consider postponing infertility treatment until you have been vaccinated would be if you want to protect yourself from Covid-19 before you become pregnant.

How soon after Covid-19 vaccination can I start infertility treatment?
Answer: Immediate
Explanation: You should not delay infertility treatment

I had a positive pregnancy test today. Can I still get the Covid-19 vaccine?
Answer: Yes if you are in the risk category
Explanation:If you are at risk for Covid-19, or because of potential exposure to work-medical staff, you can still get the vaccine during pregnancy, but if you do not have an increased risk for Covid-19, the Joint Vaccination and Immunization Committee (JCVI) advises to postpone vaccination after pregnancy. There is no reason to believe that any of the Covid-19 vaccines would be harmful, but their effects in pregnancy have not yet been fully investigated. The information that is known is convincing. None of the vaccines contain a live virus so there is no risk that a pregnant woman or her baby may get Covid-19 from the vaccine. For more information on pregnancy vaccinations, see the information produced by Royal College Obstetricians and Gynecologists here .

I want to donate my eggs / sperm for use to others. Can I still get the Covid-19 vaccine?
Answer: Yes
Explanation: Covid-19 vaccines do not contain a virus and therefore you cannot transmit Covid-19 by receiving the vaccine. The Human Fertilization & Embryology Authority recommends that at least 7 days have elapsed since vaccination before donating eggs or sperm. If the donor feels unwell after vaccination, they should not donate for 7 days after the onset of symptoms. Read more here .