연령별로 본 여성의 미의식 및 미용성형수술에 대한 인지도 연구 - 수도권 거주 여성을 중심으로 -

최미혜 ( Mi Hye Choi ),김주덕 ( Ju Duck Kim ) 한국미용학회 2007 한국미용학회지 Vol.13 No.2

This study has conducted a comparative analysis on degrees of recognition and the actual status of the concept of ideal appearances and plastic surgery to achieve them through comparing women`s awareness of beauty by age and according to whether or not they have plastic surgery, by making a survey of general women in from their 20s to 50s living in the National Capital region. The purpose of this study is to help make up for problems caused by indiscreet surgery through making women have proper aesthetic consciousness and be aware of ideal appearances in a right way and finding out the reality of plastic surgery accurately. In addition, by delivering knowledge about plastic surgery, it aims at making one understand plastic surgery, one of axis of the cosmetic industry precisely. This study was conducted by employing literature review and a questionnaire survey and it made the survey by distributing 100 survey sheets per an age group (50 sheets to ones with plastic surgery and 50 sheets to ones without it) and 400 survey sheets in total and 389 returned sheets except 11 unavailable sheets were used as final data. To summarize the results of the study is as below. 1. In a survey on aesthetic consciousness, all the women were thinking that beauty is given inherently and it is closely related to appearances and even beautiful appearances affect the formation of personal relationship. However, it was found that they regard individual beauty rather than general beauty as important. 2. In a survey on appearances, in all the age groups, they considered that appearances are important in social life and also they considered appearances as a necessary factor for success in life and it was found that they had experiences in being discriminated due to appearances. In addition, the percentage of women who thought that appearances are changeable depending on one`s own efforts as much as they want was high in every age group equally and especially the percentage was higher in the younger age groups. 3. In a survey on plastic surgery, in all the age groups, they regarded it positively and had interest on the surgery. In acquiring the information about the surgery, the younger age groups often use the Internet and as problems they take into consideration most when they decide the surgery, the younger age groups considered economic factors rather than the side effects of the surgery. However in all the age groups, they thought that their appearances would change positively after the surgery. 4. In a survey only of ones having plastic surgery, as persons who recommend the surgery, in the younger age groups, the answers of by themselves and their parents were most. As merits after having plastic surgery, in the younger age groups, the answers of good personal relationship and getting rid of a sense of inferiority were most. In addition, in degrees of satisfaction after having the surgery, in all the age groups it showed relatively high and the reaction of people around them was positive but the people didn`t recognize what they had done with their appearances. Moreover, about the side effects of the surgery, they were not informed sufficiently and it was found that they had the surgery without worrying about particular side effects.

What factors encourage the acceptance of cosmetic surgery? Diferences in sociopsychological infuences contingent upon cosmetic surgery experience

김선우 한국의류학회 2022 Fashion and Textiles Vol.9 No.1

While numerous sociopsychological factors afect one’s acceptance of cosmetic surgery, little is known about the sociopsychological infuences that lead to cosmetic surgery acceptance based on one’s prior experience with cosmetic surgery. The present study identifed the diferences between two groups: women with cosmetic surgery experience and women without prior cosmetic surgery experience. A research model was developed with fve hypotheses to identify the four sociopsychological infuences on cosmetic surgery acceptance: upward appearance comparison, awareness of an emphasis on beauty ideals, internalization of beauty ideals, and body surveillance. Data were collected from 651 South Korean women in their 20 s to 40 s and were analyzed using second-order confrmatory factor analysis and multi-group structural equation modeling. In the cosmetic surgery group, upward appearance comparison, awareness of an emphasis on beauty ideals, and body surveillance had a positive efect on cosmetic surgery acceptance. Internalization of beauty ideals and body surveillance also had a positive efect on cosmetic surgery acceptance in the no cosmetic surgery group. Additionally, the efects of upward appearance comparison, awareness of an emphasis on beauty ideals, and internalization of beauty ideals on cosmetic surgery acceptance varied signifcantly between the two groups. The fndings add insights on the design of therapeutic programs to prevent cosmetic surgery addiction and education programs to increase body appreciation.

대장직장암절제술에서 로봇수술과 복강경수술의 비교

신재원,김선한 대한의사협회 2012 대한의사협회지 Vol.55 No.7

Laparoscopic surgery is an acceptable option for colorectal cancer. Robotic surgery is an emerging methodology and may be a solution to some difficulties inherent to conventional laparoscopic surgery. The aims of this study are to review the outcomes of laparoscopic and robotic surgery, and to discuss robotic surgery from the perspective of treating colorectal cancer. In rectal cancer, robotic surgery takes a longer operative time and has a higher cost, but decreases conversion to open surgery and shortens the learning curve. It has a great potential for preserving bladder and sexual function after total mesorectal excision (TME). The TME quality may also be better. Robotic surgery can also modify the current standard anastomosis following rectal resection, which is a double-stapling technique. Using a robot enables transanal specimen retrieval then a single-circular stapled anastomosis, which is associated with low pain and fast recovery. More solid answers including the long-term oncologic safety will be provided by ongoing randomized trials. In colon cancer, the ease of performing intracorporeal suture anastomosis may be a benefit. Since complete mesocolic excision with wide lymphadenectomy is becoming more and more acceptable to achieve better oncologic outcomes,the role of robotic surgery in providing a stable environment for radically dissecting lymph nodes should be evaluated. Recently developed new technologies such as fluorescent imaging and a robotic stapler seem promising potentially providing further benefits such as a decrease in anastomotic leakage. Single port robotic surgery is also an interesting concept requiring clinical evaluation. Robotic surgery is a developing field and may provide further functional and oncological benefits to colorectal cancer patients. Large scale randomized trials are timely important.

중국인의 성형 의료관광 동기와 선택 속성 중요도에 관한 연구: 대인 영향력과 성형 경험을 중심으로

김은희 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.8

본 연구는 중국인들의 한국 성형 의료광광 동기 요인과 성형 의료관광 선택 속성 중요도 요인을 확인하고 이들 요인이 대인영향력과 성형 경험 유무에 따라 차이가 있는지 확인하였다. 이를 위한 연구는 중국의 북경과 청도에 거주하는 대학생과 일반인들을 대상으로 이루어졌다. 연구결과는 다음과 같다. 첫째, 한국 성형 의료관광 동기 요인으로는 외적 가치, 성형과 관광 가치, 내적 가치로 확인되었다. 선택 속성의 중요도 요인으로는 의료 우수성, 의료 후 서비스, 의료비용, 의료관광 품질로 확인되었다. 둘째, 한국 성형 의료관광 동기 요인과 선택 속성의 중요도 요인 모두 정보나 규범을 통해 자신의 가치를 높게 보이도록 하는 대인영향력이 높을 때 더 중요하게 생각하는 것으로 확인되었다. 셋째, 성형 경험이 있는 중국인들은 성형 의료관광 동기 요인 중 성형과 관광 가치 그리고 내적 가치를 더 중요하게 생각하는 것으로 확인되었다. 또한 의료 우수성과 의료비용은 성형 경험이 있을 때 성형 의료관광의 선택 속성을 더 중요하게 생각하는 것으로 확인되었다. 이상의 연구결과는 한국 성형 의료관광을 활성화시키기 위한 마케팅전략의 기초자료로 활용되기를 기대한다. This study examined importance factors of cosmetic surgery tourism motivations and selection attributes of Korean cosmetic surgery tourism of Chinese, and then investigated whether such factors are varied, depending on the presence of interpersonal influence and cosmetic surgery experience. This research has studied university students and adults living in Beijing and Qingdao, China. The findings are as follows: First, motivation factors of Korean cosmetic surgery tourism include external and internal value and that of cosmetic surgery and tourism. Importance factors of selection attributes include medical superiority, follow-up care, medical cost and quality of medical tourism. Second, both importance factors of selection attributes and motivations of Korean cosmetic surgery tourism are thought to be more valuable when interpersonal influence is higher, which allows them to think that their values are higher, through information or norms. Third, some Chinese who have experience of cosmetic surgery tend to put more emphasis on value of cosmetic surgery and tourism and internal one, among motivational factors of cosmetic surgery tourism. In addition, medical superiority and medical cost are also thought to be more valuable, among selection attributes of cosmetic surgery tourism, when they have experienced cosmetic surgery.

여성의 자기의식, 신체이미지가 반복되는 미용수술행위에 미치는 영향

최미혜 ( Mi Hye Choi ),김경희 ( Kung Hee Kim ),김주덕 ( Ju Duck Kim ) 한국미용학회 2009 한국미용학회지 Vol.15 No.2

This research was conducted to check the reason why women are repeating cosmetic surgery including a second-surgery for self-consciousness and the body to the target of a teen-ager to fifty-ager 200 women who experienced cosmetic surgery in the Seoul metropolitan area. There is no pathological diagnosis of performing cosmetic surgery itself, but intended to help you clear up the risk of addiction to cosmetic surgery by understanding the nature of people relying on repeating cosmetic surgery simply because of a psychological reason, social inferiority and unrealistic expectation. In addition, intended to help you understand cosmetic surgery as a last choice of the appearance management actions and take with a correct aesthetic sense and appearance escaping from the reckless and repeating cosmetic surgery. Referenced previous paper that because of the wide availability of cosmetic surgery cosmetic surgery, it is hard to find out pathological diagnosis to just one-time experienced people. we analyzed and compared the reasearch divded from two groups-one had performed cosmetic surgery just one time and the other had performed cosmetic surgery several times more than 2 times. The survey results that is concluded through the questionnaire is like that. other had performed cosmetic surgery several times more than 2 times, self-consciousness especially in public self-consciousness had a meaningful positive(+) influence to the individual`s body image. The group that had performed cosmetic surgery several times more than 2 times is higher and more positive in public self-consciousness and body image than the group that had performed cosmetic surgery just one time.

Trends in knee surgery research in the official journal of the Korean Knee Society during the period 1999–2018: a bibliometric review

Park Seung-Hwan,Jung Kwang-Hwan,Chang Sung-Who,Jang Sung-Min,Park Ki-Bong 대한슬관절학회 2020 Knee Surgery and Related Research Vol.32 No.-

Background: We applied bibliometric tools to original articles published in the official journal of the Korean Knee Society between 1999 and 2018 to identify their characteristics related to knee surgery and to examine the changes in research trends in the last 20 years. Methods: Over a 20-year period, 579 original articles were published in the journal Knee Surgery and Related Research (KSRR). We analyzed the title, keywords, and abstract of the article to analyze the research topics and assigned original articles to seven surgical categories as follows: total knee arthroplasty (TKA), unicompartmental knee arthroplasty (UKA), high tibial osteotomy (HTO), arthroscopy, surgery for cruciate ligament, revision surgery, and other surgery. To analyze the trends in research, we divided the study period into two equal parts of 10 years each, examined the percentage of articles in each decade, and analyzed topic trends using the growth rate. Results: Among the original articles, 86 on the topic of non-surgery were excluded, and 493 original articles related surgical research were included. Articles related to surgery accounted for 85.2% of the total original articles published annually. By period, this was 85.6% in the first half and 84.8% in the late half (p = 0.76). A total of 493 original articles related to surgery, with the largest number of TKA-related research at 52.1%. In the study period, the largest increase in the percentage of articles was on the topic of HTO surgery, by 149%. The topics of UKA and revision surgery increased by 95.3% and 33.9%. The topic of TKA increased by 5.9% and the topic of surgery for cruciate ligament decreased by 18.7%. The topic of arthroscopy showed the largest decrease, by 47.6%. Conclusions: The bibliometric findings of this study suggest that the majority of surgery-related original articles published in KSRR during the last 20 years involved research about TKA surgery, and the greatest relative increase over the study period involved research about HTO surgery. The authors expect that the analysis of characteristics and research trends of original articles published in KSRR will provide useful information about KSRR for future researchers.

외과 영역에서 로봇 수술의 적용

김진경,양승윤,김성현,김형일 대한의사협회 2021 대한의사협회지 Vol.64 No.10

Background: Application of robotic surgery in the field of general surgery has been increasing. This paper is an overview of the current uses and future perspectives of robotic surgery in four major divisions—endocrine, upper gastrointestinal, hepato-biliary-pancreatic (HBP), and colorectal surgery. Current Concepts: In endocrine surgery, cosmetic advantage is the highest priority when selecting a surgical approach for thyroidectomy. Currently, the transaxillary route is the most common approach. The introduction of the single-port system could maximize the advantages of this technique. In upper gastrointestinal surgery, the use of robots has the advantage of better retrieval of lymph nodes, less bleeding, earlier discharge, and less complications than the laparoscopic approach. However, a more prospective comparative trial is required to confirm those findings. In the HBP field, the indications of robotic surgery have expanded, starting with cholecystectomy to more challenging procedures, such as donor hepatectomy and pancreaticoduodenectomy. Meticulous dissection using robots could provide benefits to patients. In colorectal surgery, robotic surgery is an excellent technical tool for minimally invasive surgeries for rectal cancers, especially in male patients with narrow, deep pelvises. However, further studies are required to confirm the impact of robotic surgery on rectal cancers. Discussion and Conclusion: Robots are used to provide optimal surgical outcomes. Investigating new technologies and innovative surgical procedures is the highly important for a surgeon in the era of minimally invasive surgery.

COSMETIC SURGERY: A CATALYST FOR CHANGES TO THE SELF AND MATERIALIST CONSUMPTION

Héctor González-Jiménez,Sujin Song 글로벌지식마케팅경영학회 2018 Global Marketing Conference Vol.2018 No.07

Individuals consume products and services as a means of symbolic self-expression in private and public contexts (Ahuvia, 2005; Belk, 1988; Harmon-Kizer et al., 2013). The body should be seen as the continuation of the individual, as the self is exhibited to others via its embodiment (Borelli and Casotti, 2012). Thus, the body functions as object that can serve self-expressive purposes and consumption behaviors (Schouten, 1991). Meanwhile, cosmetic surgery is described as a “fashion object” (Venkatesh et al., 2010, p. 468) and a form of extreme symbolic consumption that uses the body as an object to express the self (Schouten, 1991). Research indicates that individuals use of cosmetic surgery as a means of self-identity reconstruction (Askegard et al., 2002) and that motivational antecedents such as sociocultural influences, competition with others, media influence, body appreciation, and a materialist orientation are drivers of cosmetic surgery (Henderson-King and Brooks, 2009; Markley-Roundtree and Davis, 2011; Swami et al., 2009). Contrary to prior evidence, we argue that besides being a consequence, cosmetic surgery acts also as an antecedent that influences materialist consumption practices through changes to a consumers’ self. Surprisingly, despite the growing number of cosmetic surgery procedures around the globe and the self as a key driver of consumer behavior, no study to date has explored how cosmetic surgery acts as an antecedent of materialistic consumption practices through potential alterations of an individual’s self. We carried out semi-structured in-depth interviews with 10 South Korean participants. Our participants were 22 to 57 years old, representing a range of income and professional roles. They had previously undergone plastic surgery procedures such as double eyelid surgery, breast enhancementt and nose surgery. First, our findings suggest that materialism is not just an antecedent of cosmetic surgery propensity (Henderson-King and Brooks, 2009), but also that cosmetic surgery influences materialist consumption practices (e.g. cosmetics, beach vacations) through changes to the self. Second, our findings indicate that individuals need to control influences how cosmetic surgery shapes the self. Specifically, consumers seek cosmetic surgery to bridge the discrepancy between the physical self (provided by nature) and their “sought” psychological self. Third, our findings illustrate the role of marketplace cultures and, in particular, socio-cultural driven factors that interact with the self in a cosmetic surgery context (Arnoud and Thompson, 2005). Fourth, our findings show that cosmetic surgery leads to various emotional outcomes through changes to the self (i.e. pride, self-satisfaction, subjective happiness, and increased guilt). We contribute to discourses of embodied practices (e.g. cosmetic surgery) related to the self and materialism (e.g., Richins, 2012; Schouten, 1991; Venkatesh et al., 2010).

하악골 전돌증 환자에서 양악 수술과 하악 단독 수술의 술 후 안정성에 관한 연구 : Jaw Surgery And Single Mandibular Surgery in Mandibular Prognathism

박재완,이동근 원광대학교 치의학연구소 2002 圓光齒醫學 Vol.11 No.3

Le-Fort Ⅰ Osteotomy is considered by many surgeons to be a safe and predictable method for correcting various dentofacial deformities. However, there are controversial options concerning the stability of two-jaw surgery (Le-Fort Ⅰ osteotomy and sagittal split ramus osteotomy) compared to single mandibular surgery (sagittal split ramus osteotomy). The purpose of this study was to evaluate the post-operative stability of mandible in two-jaw surgery and single mandibular surgery, to help the establishment of accurate treatment planning in patients with a skeletal class Ⅲ malocclusion. There were 15 patients who had been undergone two-jaw surgery and 20 patients who had been undergone single mandibular surgery. Lateral cephalograms of these 2groups ; Preoperation and immediate postoperation, postoperatively 1month, postoperatively 3months, at the latest follow up(>6months) ; were analyzed by linear measurement to evaluate changes in position (hard tissue B, Pogonion point) and compare relapse both group. The results obtained were as follows ; In view of B-point, the horizontal relapse rate of single mandibular surgery was 10.17% at post-op 1months, 12.52% at post-op 3months, 13.01% at post-op 6months and two-jaw surgery was 10.23% at post-op 1month, 11.84% at post-op 3months, 12.97% at post-op 6months. the horizontal relapse rates of Pogonion point were 10.78 at post-op 1month, 12.21% at post-op 3months, 12.98% at post-op 6months in single mandibular surgery and those were 10.27% at post-op 1month, 11.33% at post-op 3months, 12.01% at post-op 6months in two-jaw surgery. In terms of vertical relapse rate, rates of B point were 22.96% at post-op 1month, 28.30% at post-op 3months, 29.56% at post-op 6months in single mandibular surgery and 21.14% at post-op 1month, 25.45% at post-op 3months, 28.86% at post-op 6months in two-jaw surgery. Those of Pogonion point were 26.63% at post-op 1month, 28.40% at post-op 3months, 29.29% at post-op 6months in single mandibular surgery and 20.20% at post-op 1month, 25.44 at post-op 3months, 27.68% at post-op 6months in two-jaw surgery. There were no statistical difference between single mandibular surgery and two-jaw surgery in mandibular stability.

Enhanced recovery after surgery for major orthopedic surgery: a narrative review

( Yun Seong Choi ),( Tae Woo Kim ),( Moon Jong Chang ),( Seung-baik Kang ),( Chong Bum Chang ) 대한슬관절학회 2022 Knee Surgery and Related Research Vol.34 No.-

Background: With increasing interest in enhanced recovery after surgery (ERAS), the literature on ERAS in orthopedic surgery is also rapidly accumulating. This review article aims to (1) summarize the components of the ERAS protocol applied to orthopedic surgery, (2) evaluate the outcomes of ERAS in orthopedic surgery, and (3) suggest practical strategies to implement the ERAS protocol successfully. Main body: Overall, 17 components constituting the highly recommended ERAS protocol in orthopedic surgery were identified. In the preadmission period, preadmission counseling and the optimization of medical conditions were identified. In the preoperative period, avoidance of prolonged fasting, multimodal analgesia, and prevention of postoperative nausea and vomiting were identified. During the intraoperative period, anesthetic protocols, prevention of hypothermia, and fluid management, urinary catheterization, antimicrobial prophylaxis, blood conservation, local infiltration analgesia and local nerve block, and surgical factors were identified. In the postoperative period, early oral nutrition, thromboembolism prophylaxis, early mobilization, and discharge planning were identified. ERAS in orthopedic surgery reduced postoperative complications, hospital stay, and cost, and improved the patient outcomes and satisfaction with accelerated recovery. For successful implementation of the ERAS protocol, various strategies including the standardization of care system, multidisciplinary communication and collaboration, ERAS education, and continuous audit system are necessary. Conclusion: The ERAS pathway enhanced patient recovery with a shortened length of stay, reduced postoperative complications, and improved patient outcomes and satisfaction. However, despite the significant progress in ERAS implementation in recent years, it has mainly focused on major surgeries such as arthroplasty. Therefore, further efforts to apply, audit, and optimize ERAS in various orthopedic surgeries are necessary.