females, outpatient department and pharmacy (see the picture).
Almost at the same time, only several months later, the Turkish
Military hospital was established in Sarajevo (5). There were
several doctors in Vakufska bolnica (VB). The first one was Dr
Josef Koetschet, and he was helped by Turkish military doctors
like Dr Jammal, and specially surgeons like Dr Nuri. The last
Turkish governor sent two young fellows of local people to Istambul
to study medicine to be appointed later to VB. They were Dr Sami
Serbic, and Dr Zarif Skender. Having completed medical studies
in Istanbul, Dr Serbic had never come back to VB, but Dr Skender
was working a certain period of time till his death (5). Dr Karl
Bayer who performed the first brain operations came to Sarajevo
with Austro - Hungarian occupational troops in 1878.
Dr Karl Bayer and brain operation
Dr Karl Bayer was born in Hradec Kralove in 1850., Bohemia. He
completed his medical studies in Prague in 1876., and started
working in the Royal Hospital in the same city. Shortly after
that he joined Serbian army like a war surgeon in the Serbian-Turkish
War, and came back in Bohemia as doctor of forensic medicine settling
in his native town. A year later he joined the Austrian Navy and
worked as a ship doctor till 1880. From 1880. to 1883. he worked
in Mental Hospital, Kumanovo, and later in the Royal Hospital
in Prague again, for more than a year. He was appointed professor
of forensic medicine after that and stayed at the
|University in Prague for a year only. In the year
1885. became to Sarajevo, Bosnia, and became a chief doctor of VB.
Dr Bayer stayed in Bosnia for the rest of his life. After the new
hospital had been built and established in 1894., VB became Department
for Mental Diseases, and Dr Bayer was the chief of this department.
He retired in 1911., and died in 1916. There is no photograph of
him. During his period in Sarajevo he became a very prominent man,
and received several diplomas and awards, from Ghazi Husref Bey's
Charitable Foundation and from Municipality of the town (4). The
first brain operation in Bosnia was performed in summer 1891. The
patient was male, young and suffered from epilepsy. He was injured
in the head seven months earlier, and had had a wound in the scalp.
The wound healed without any medical help, but three weeks after
the injury the patient developed the first epileptic attack. Fits
gradually became more frequent, and finally he contacted Dr Bayer
who found "that the parietal bone had been punctured and several
small bone fragments penetrated into brain. Wound was healed, and
the scar was small, but the patient complained of epileptic seizures
occurring almost every day". In the next nine months he observed
two more patients almost with the same condition. He operated them
all upon, and "found small pieces of bone delved in the brain, removed
them, and closed the dura (2)." Dr Bayer reached brain through the
osteoplastic craniotomy, and the flap was fixed by interrupted sutures
and with the plaster on the head after skin suturing had been done.