• Archives of Plastic Surgery
• /
• 제38권4호
• /
• pp.531-534
• /
• 2011

Purpose: The rectus abdominis myocutaneous flap is currently the most commonly used donor site of immediate and delayed breast reconstruction surgery, for its versatility and ease of handling, as well as sufficient blood supply. Despite many advantages of rectus abdominis flap, morbidity of donor site is considered as inevitable shortcoming. The authors recently faced a devastating complication, small bowel obstruction that led to strangulation, after delayed breast reconstruction with free transverses rectus abdominis myocutaneous (TRAM) flap. And we would like to report it, because abdominal pain after TRAM flap is a common symptom and can be overlooked easily. Methods: A 56-year-old female patient who had history of receiving total abdominal hysterectomy 20 years ago underwent delayed breast reconstruction with TRAM flap transfer. She complained abdominal discomfort and pain from third postoperative day, postoperative small bowel obstruction that arose from strangulated bowel and prompt emergency operation was done. Results: After resection of the strangulated bowel and reanastomosis, quickly her symptoms were relieved, and there were no further problems during her hospital stay. 7 days after her emergency operation she was discharged. Conclusion: In patients with previous abdominal surgical history, prolonged ileus can lead to bowel strangulation, so surgeons should always consider the possibility, and must be aware of abdominal symptoms in patients who receive free TRAM flap operations.

• Archives of Plastic Surgery
• /
• 제32권5호
• /
• pp.573-581
• /
• 2005

Breast cancer is the second leading cause of death in woman. Unfortunately, the frequency of breast cancer and mastectomy are increasing in Korea. This paper introduces the breast reconstruction by use of pectoralis major muscle transfer with breast implant for small size defect after skin sparing mastectomy for more satisfaction. We reviewed 24 consecutive patients who underwent breast reconstruction by pectoralis major muscle transfer with implant and only breast implant in Dong-A University from April 2002 to March 2004. The patient's age ranged between 29 and 54 years with mean of 42.3 years. We used pectorals major muscle transfer with breast implant in 12 patients and breast implant alone in 12 patients as control. The follow-up period of patients ranged from 10 months to 3 years with mean of 18.5 months. The points of comparison with control group reconstructed by breast implant alone were doctor and patient satisfaction score, operation time, duration of admission, amount of drainage, complication and satisfaction according to mass location. In conclusion, there is no difference with control group in the point of operation time, mount of drainage, duration of admission. And there is higher level of doctor's and patient's satisfaction in group reconstructed by pectoralis major muscle transfer with breast implant than implant only group. Especially, pectoralis major muscle transfer with breast implant was especially necessary for the defect in upper lateral quadrant of the breast to get more satisfaction. The advantage of pectoralis major muscle transfer with breast implant is prevention of the protruding and palpability of implant and aesthetically satisfactory result by intraoperative modification of breast shape.

• 복식
• /
• 제53권5호
• /
• pp.79-95
• /
• 2003

The purpose of this study is firstly to survey the social and cultural background of 20th century and women´s status, and to identify what the ideal body is like and what the elements of outer garment and underwear are and the techniques to incarnate the ideal beauty. Various papers are referenced for theoretical study and the elements and techniques of underwear are analyzed based on photographical materials. This paper concludes as follows. In 1960´s, ideal beauty was small bust, long legs, which showed extremely slim Mini-skirt look. Thinly or no padded brassiere were worn for small bust, and pants-style short panty girdles were popular as they used to wear pants frequently. Lycra replaced all the closures, bones, seams and gave freedom with light weight. In 1970´s, a natural human body without sex specific was in vogue. Therefore, the non-structural knits without a pad or lining or the shirts dress were widespread for a Natural look and the naturally molded brassiere or girdles were worn as the underwears. In 1980´s, the women with powerful muscle appear which emphasized liveliness and healthfulness. The body conscious represented by wide shoulder, plump breast, accented waist, small hips, and long legs has been embodied. Outer garments emphasized women power and healthy beauty with Power suit and Form-fitting style, and underwears made the breast plump with padded brassiere and emphasized waist and hips with waspie. In 1990´s, ideal beauty was slim body with big bust and the outer garments emphasized body line of women with Hourglass silhouette. Push-up bra which emphasizes the valley of breast and supports the breast upward and the control tights for slim waist, flat abdomen, small hips, and long and slim legs have been useful as underwears. Multi-functional micro-fiber has been ideal for sculpting women body.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1997년도 추계학술대회
• /
• pp.365-368
• /
• 1997

We are developing a small gamma camera or imaging malignant breast tumors. The small scintillation camera system consists of NaI(Tl) crystal ($60\;{\times}\;60\;{\times}\;6\;mm^3$) coupled to position sensitive photomultiplier tube (PSPMT), nuclear instrument module (NIM), analog to digital converter (ADC), and personal computer. High quality flood source image and hole mask image were obtained using the gamma camera developed in this study. Breast phantom containing $2{\sim}7\;mm$ diameter spheres was successfully imaged with parallel hole collimator. The obtained image displayed accurate activity distribution over the imaging field of view. Linearity and uniformity correction algorithms are being developed. It is believed that the developed small gamma camera could be useful or detection of malignant breast cancer.

• 한국의류학회지
• /
• 제36권8호
• /
• pp.791-801
• /
• 2012

We performed an assessment of wearing, purchasing, satisfaction, and the fit of brassieres according to body and breast type for college women to provide basic data on the manufacture of an ergonomic brassiere. The classifications of domed and conical breast type or projecting and conical breast type were unclear. Flat breast were dissatisfied with the shape of small and flat, and drooping breast were dissatisfied with the shape of big, projected, and drooping. In purchasing a brassiere, the majority of subjects were ignorant of their brassiere size, and over 80% of the subjects bought a brassiere without trying it on. Over 50% of those surveyed said they found it difficult to buy a well-fitted brassiere, particularly for the flat and drooping breast type. Over 70% of those surveyed wore a brassiere of 3/4 cup size, the slim body type wore a brassiere of 1/2 cup size; however, the obese body type wore a brassiere of full-cup size. The flat-breast or slim-body wore a brassiere of a thick pad type but projecting-breast or drooping breast wore brassiere of a thin pad type. Many of the subjects wore an unfitted brassiere in cup size and under bust size. In the classification of breast type, there were slight differences between the breast type that they recognized and the breast type that they were shown. There were distinctions in function, satisfaction, and fitness based on breast type. Therefore, the development of an ergonomic brassiere should considered the characteristics of breast type for fitness and comfort.

• Archives of Plastic Surgery
• /
• 제41권5호
• /
• pp.520-528
• /
• 2014

Background As the breast cancer incidence has increased, breast-conserving surgery has replaced total mastectomy as the predominant procedure. However, centrally located breast cancers pose significant challenges to successful breast-conserving surgeries. Therefore, we performed partial mastectomy and oncoplastic procedures on centrally located breast cancer as a means of partial breast reconstruction. The authors examined and evaluated the functional and aesthetic usefulness of this reconstruction method. Methods From January 2007 to June 2011, 35 patients with centrally located breast cancers who underwent various oncoplastic procedures based on the breast size and resection volume. The oncoplastic procedures performed included volume displacement surgical techniques such as purse-string suture, linear suture, and reduction mammaplasty. Other oncoplastic procedures included volume replacement procedures with an adipofascial, thoracoepigastric, intercostal artery perforator, thoracodorsal artery perforator, or latissimus dorsi flap. Results Mean patient age was 49 years, and mean follow-up period was 11 months. In cases of small to moderate-sized breasts and resection volumes <50 g, volume displacement procedures were performed. In cases of resection volumes >50 g, volume replacement procedures were performed. In cases of larger breasts and smaller resection volumes, glandular reshaping was performed. Finally, in cases of larger breasts and larger resection volumes, reduction mammaplasty was performed. This reconstruction method also elicits a high patient satisfaction rate with no significant complications. Conclusions In centrally located breast cancer, oncoplastic surgery considering breast size and resection volume is safe and provides appropriate aesthetic outcomes. Therefore, our method is advisable for breast cancer patients who elect to conserve their breasts and retain a natural breast shape.

• 여성건강간호학회지
• /
• 제7권3호
• /
• pp.382-392
• /
• 2001

The purpose of this study is to investigate breast-feeding and breast-feeding health behavior among korean first-time mothers and to provide basic data for promoting breast- feeding. Data were collected by interview or self report from 444 first-time mothers who visited health clinic center in the area of metropolitan, medium or small city, countryside. and whose infants were under 12 months old from January 2001 to February 2001. The results show that breast-feeding was 31.5% in a week after childbirth, 25.8% in 4 weeks after childbirth, 22.7% in 2 months, 17.8% in 3 months, 14.3% in 6 months, 2.5% in 12 months after childbirth. Breast-feeding rate was very low in Korea and the duration of breast-feeding was very short. Breast-feeding health behavior did not show significant differences by general characteristics of the subjects except area. The subjects in the health clinic center with MCN project did better breast feeding health behavior than the subject in the health clinic center without MCN project. To raise breast-feeding rate, several strategy could be suggested. Systemic education about importance and advantages of breast-feeding and desirable breast-feeding method should be provided to pregnant women and postpartum women. Childbirth leave in the work should be prolonged, and supportive facility such as nursery room should be installed for working mothers. Hospitals should follow the guideline of 'Baby Friendly Hospital Initiative' which was provided by UNISEF and WHO, including rooming-in after delivery.

• 패션비즈니스
• /
• 제21권5호
• /
• pp.109-121
• /
• 2017

In this study, we proposed the Bustier which improves the fit and functionality to compensate the physical defects by maximizing the volume up effect using the breast detailed measurements and shapes of the poor breast female subjects. Based on the preliminary study of the problem and preference according to the characteristics of the poor breast women consumers, we produced 1/2 volume mold cups based on the previous research. Respectively. A total of 5 subjects were selected, and new 3 bustier patterns based on the pattern making system of industry were created through direct measurement and shapes. As a result of verifying the usability of the developed bustier by testing the commercially available bustiers and the newly developed bustiers for 5 subjects. In order to compare the existing bustiers with the newly developed bustiers, the appearance evaluation by the expert, the evaluation of the adaptability and satisfaction by the subjects were utilized. Through this experiment, the newly developed bustiers were superior in the evaluation of the motion adaptability and wear comfort as well as appearance test. It was shown that the wear effect of the bustier with the longest back length was the best.

• Archives of Plastic Surgery
• /
• 제42권4호
• /
• pp.438-445
• /
• 2015

Background Breast auto-augmentation (BAA) using an inferior pedicle dermoglandular flap aims to redistribute the breast tissue in order to increase the fullness in the upper pole and enhance the central projection of the breast at the time of mastopexy in women who want to avoid implants. The procedure achieves mastopexy and an increase in breast volume. Methods Between 2003 and 2014, 107 BAA procedures were performed in 53 patients (51 bilateral, 2 unilateral and 3 reoperations) with primary or secondary ptosis of the breast associated with loss of fullness in the upper pole (n=45) or undergoing explantation combined with capsulectomy (n=8). Six patients (11.3%) had prior mastopexy and 2 (3.7%) patients had prior reduction mammoplasty. The mean patients' age was 41 years (range, 19-66 years). All patients had preoperative and postoperative photographs and careful preoperative markings. Follow-up ranged from 6 months to 9 years (mean, 6.6 months). Results The range of elevation of the nipple was from 6 to 12 cm (mean, 8 cm). The wounds healed completely with no complications in 50 (94.3%) patients. Three patients had complications including 2 (3.7%) hematomas and 1 (1.9%) partial necrosis of the nipple-areola complex. Three (5.7%) patients were dissatisfied with the level of mastopexy achieved underwent a further procedure. No patient complained of scar hypertrophy. Conclusions BAA is a versatile technique for women with small breasts associated with primary or secondary ptosis. It is also an effective technique for the salvage of breasts after capsulectomy and explantation.

• 패션비즈니스
• /
• 제26권3호
• /
• pp.72-86
• /
• 2022

Volume-up pads are the most common and easiest way to make women with small breasts beautiful. In this study, to develop a volume-up brassiere pad with excellent wearing effects and appearance, 24 different types of volume-up pads commercially available in the online market were investigated and then 11 types were purchased. Among these eleven types, four pads (PAD1, PAD2, PAD3, PAD4) with distinct shapes and materials were selected through a pre-test. They were compared to the newly developed pad for research (PAD5). The results of the study follow. The results of evaluating appearance when wearing the developed pad (PAD5) were significantly higher than that of other pads, and the appearance evaluation score for the full-cup type pad was excellent. In the wearing satisfaction evaluation result, PAD5 showed generally excellent evaluation scores, and in the case of the touch, preference for the fabric material was higher than that of the silicon pad. In the evaluation of motion adaptability, the developed PAD5 showed generally excellent evaluation scores in all movements, indicating that the full-cup type pads had better motion adaptability than the partial-type pads.