The Desire for Advanced Technology and the Reversal of Appropriateness: the Technological Competition between Laparoscopic Sterilization and Mini-laparotomy in 1960-80s South Korea

Abstract

This article examines the technological competition between laparoscopic sterilization and mini-laparotomy from the 1960s to the 1980s in South Korea and analyzes the motives of obstetricians and gynecologists for participating in the Family Planning Program. Obstetricians and gynecologists were key actors in implementing the Program in the front line, but there is not enough research on why they became involved in the Program. Preceding studies describe the doctors as those who internalized historicism combined with population problems and devoted themselves to the cause of the state. However, it is difficult to find concerns about the nation's future in the oral statements or memoirs of those who participated in the Program. This research focuses on the fact that laparoscopic sterilization, a complex and expensive technology, proliferated, rather than simple and inexpensive mini-laparotomy in South Korea, a low-income country where the Family Planning Program was implemented. This study also argues that behind this reversal of appropriateness lay the desire for advanced technology of elite obstetricians and gynecologists that cannot be reduced to the cause of the state.

Keywords: Family Planning Program; desire for the advanced technology; mini-laparotomy; obstetrics; technological competition; laparoscopy.

그림 1.

우치다 술식(좌)과 배병주 술식(우). Figure 1. Uchida technique(left) and Bae technique(right).

그림 2.

복강경 난관 불임 수술을 집도하는 모습과 복강경 수술 기구. Figure 2. Laparoscopic tubal sterilization and laparoscopic surgical instruments.