[THE MEDICAL SOCIAL AND PSYCHOLOGICAL PROBLEMS OF PATIENTS WITH DIAGNOSIS OF RECTUM CANCER DURING POSTSURGERY PERIOD: THE PUBLICATIONS REVIEW].

The review is devoted to medical social problems of early and late postoperative period in patients with malignant tumors of rectum. the analysis of publications provided information testifying that from the first days after surgery, adaptation difficulties affect not only patient, but also one's family. the physiological difficulties in adapting to new living conditions are associated not only with such general negative factors as traumatic nature of operation, blood loss and operational stress, but also with peculiarities of new anatomical status of gastrointestinal tract. The presence of colostomy, stool and gas incontinence often result in social isolation of patient at the level of both family and society. A number of ethical and deontological problems are noted in interaction of the operated patient with attending oncologist at inpatient and outpatient stages of treatment. It is concluded that only comprehensive and complex understanding of medical, psychological and social aspects of problems of the postoperative period can lead to development of programs for their effective solution.