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Commentary on can complex surgical interventions be standardized? Reaching international consensus on posterior
1John A. Burns School of Medicine, University of Hawaii, 1319 Punahou Street, Suite 600, Honolulu, HI 96826, United States.
Journal of Pediatric Surgery
|March 29, 2021
Summary
This commentary discusses standardizing complex surgical procedures. It focuses on reaching international consensus for posterior sagittal anorectoplasty using a modified-Delphi method.
Area of Science:
- Surgical standardization and consensus building in pediatric surgery.
Background:
- Complex surgical interventions, such as posterior sagittal anorectoplasty (PSARP), present challenges in standardization.
- Achieving international consensus is crucial for optimizing surgical outcomes and training.
Purpose of the Study:
- To provide commentary on a study that aimed to reach international consensus on PSARP standardization.
- To highlight the utility of the modified-Delphi method in complex surgical fields.
Main Methods:
- The commentary reviews a study employing a modified-Delphi method.
- This method involves iterative expert feedback to achieve consensus.
Main Results:
- The study successfully utilized the modified-Delphi method to identify areas of agreement and disagreement in PSARP.
- The commentary emphasizes the potential for this method to standardize other complex surgical procedures.
Conclusions:
- Standardizing complex surgical interventions like PSARP is achievable through structured consensus-building methods.
- The modified-Delphi approach offers a viable framework for international collaboration in surgical standardization.

