Organizational and legal basis for aesthetic breast reconstruction in oncological clinic

Abstract

Introduction. The article reveals the organizational and legal basis for aesthetic reconstruction of the breast in the oncology clinic. The increase of patients' requirements for aesthetic results of the breast cancer treatment is outlined. Judicial practice data from open sources on «medical» cases are presented. Materials of external studies are described, where aesthetic reconstruction is presented as an integral part of rehabilitation, prevention of negative consequences of treatment, including mental disorders. The article defines the place of aesthetic reconstruction after breast cancer surgery, raises the problem of the possibility of symmetrical operations on the healthy contralateral breast, preventive breast and pelvic surgery in women with genetically predisposed forms of oncological diseases, expanding the volume of screening in women with a hereditary anamnesis.The purpose of the study was to compare the requirements for the quality and scope of medical care for breast cancer patients at a state oncology clinic with the professional competencies of the end-doctor oncologist, according to current standards, clinical guidelines, and guidelines for medical care.Materials and methods.The review of current regulations in the field of medical activity in the profile «Oncology» effective in the Russian Federation. Also the data of the judicial practice from open sources for 2012, 2017-2020 are presente. Results. The interpretation of current legal documents of the Russian Federation in the field of medical care in the profile «oncology» gave ambiguous results: probably, there is an intersection of qualification requirements for oncologist and plastic surgeon.Discussion. Possible ways out and suggestions from the current dangerous, from the legal point of view, situation are outlined.