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Volume 19 Number 3 (September - December 2012) - Mahidol ...

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<strong>Mahidol</strong><br />

University’s<br />

Faculty of<br />

Medicine Siriraj<br />

Hospital has<br />

become the first<br />

medical facility in<br />

Southeast Asia<br />

to perform robotic surgery on patients<br />

with partial knee-joint problems.<br />

Talking to Spectrum, Assoc. Prof. Keerati<br />

Charoencholvanich M.D, Orthopaedic<br />

Surgeon, Adult Reconstrutive Surgery<br />

Department of Orthopaedic Surgery,<br />

explained the main advantages of this<br />

procedure, describing how the surgery<br />

is more accurate, convenient and quicker<br />

than traditional forms of surgery.<br />

The robotic equipment has three<br />

main components – a camera, to view<br />

the surgery in real-time; a computer, to<br />

calculate how and where to make cuts;<br />

and a robotic arm under the control of<br />

the surgeons. The procedure is referred<br />

to as a “semi-active”, as even though robotic<br />

The controversial practice of<br />

removing the eyestalk of female<br />

black tiger shrimp (Penaeus monodon) in<br />

the aquaculture industry (eyestalk ablation)<br />

could soon be over if a new technique<br />

to stimulate ovarian maturation and<br />

spawning developed by a molecular<br />

biologist at <strong>Mahidol</strong> University proves to<br />

be a viable alternative.<br />

Traditionally, female shrimp have had<br />

their eyestalks removed to dispose of<br />

a gland that produces gonad-inhibiting<br />

hormone (GIH) which controls ovarian<br />

maturation. Unfortunately, this procedure<br />

quickly exhausts the female broodstock,<br />

increases production costs, and attracts<br />

accusations of cruelty. Due to the<br />

lack of alternatives, the practice has<br />

continued. However, this situation may<br />

change thanks to researchers at the<br />

Institute of Molecular Biosciences-<br />

Assoc. Prof. Dr. Apinunt Udomkit, and<br />

2 • <strong>September</strong> - <strong>December</strong> <strong>2012</strong>, Vol. <strong>19</strong>, No. 3<br />

Siriraj Hospital - A Pioneer In<br />

Robotic Knee Surgery<br />

equipment is used, it is monitored<br />

and controlled by experienced<br />

orthopaedic surgeons. Crucially,<br />

robotic surgery reduces the chance<br />

of errors being made and leads to<br />

more precise incisions and cuts to the<br />

bone and reduced damage to surrounding<br />

tissues. Furthermore, as robotic surgery<br />

tends to leave behind a much smaller<br />

wound, patients also recuperate more<br />

quickly and are able to perform routine<br />

activities shortly after their procedure. In<br />

fact, they typically maintain a wide-range<br />

of motion that is remarkably similar to<br />

healthy people.<br />

The use of this technology will<br />

undoubtedly bring enormous benefits to<br />

people suffering from problems with their<br />

knee-joints; it also reinforces the Department’s,<br />

the Faculty of Medicine Siriraj Hospital’s<br />

reputation as a premier centre of<br />

Humane Technique for use in<br />

Shrimp Farming<br />

Dr. Supattra Treerattrakool, who have<br />

developed a strategy to induce<br />

reproductive maturation in adult female<br />

P. monodon by working at the molecular<br />

level to block the activity of the GIH. Assoc.<br />

Prof. Udomkit and Dr.Treerattrakool<br />

hope this technique will make the removal<br />

of eyestalks redundant.<br />

This innovation could provide<br />

significant benefits for shrimp farmers<br />

as it would automatically reduce the use<br />

of both wild caught and domesticated<br />

female broodstock and therefore cut<br />

the production costs involved in breeding<br />

shrimp. Another potential benefit is that<br />

female broodstock could be kept in<br />

captivity for longer periods. This would<br />

allow for the identification of good<br />

breeders which could be selectively<br />

bred to supply high-quality seed for the<br />

aquaculture industry. Both aspects could<br />

have huge commercial benefits for the<br />

Thai and global aquaculture industry.<br />

orthopaedic surgery within the region.<br />

In order to help promote the use of<br />

this technology and to mark the 48 th<br />

anniversary of Department of Orthopaedic<br />

Surgery, the hospital is offering special<br />

discounts of up to 50% for 48 patients<br />

who opt for this pioneering form of<br />

surgery.<br />

For more information about The Faculty<br />

of Medicine Siriraj Hospital, including<br />

more news plus contact details, please<br />

visit http://www.si.mahidol.ac.th/eng/<br />

Shrimp have become one of the Thailand’s<br />

top ten export products, worth an<br />

estimated 50 billion Thai Baht (almost<br />

US$ 1.6 billion) annually.<br />

Dr. Treerattrakool adds that “The strategy<br />

would benefit the long-term sustainability<br />

of the country’s black tiger shrimp industry<br />

and increase its competitiveness in the<br />

global market.”

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