Development of a Consensus-Derived Synoptic Operative Report for Rectal Prolapse: A Report From the Pelvic Floor...

Area of Science:

• Surgical reporting standards
• Pelvic floor reconstructive surgery
• Consensus development methodologies

Background:

• Traditional operative reports for rectal prolapse can be incomplete or unclear.
• Standardized reporting is crucial for accurate data capture in surgical procedures.

Purpose of the Study:

• To create a synoptic operative report for rectal prolapse surgery.
• To include essential intraoperative descriptors identified through international expert consensus.

Main Methods:

• A 3-round Delphi process involving 176 pelvic floor surgeons globally.
• Utilized a 9-point Likert scale to achieve at least 70% agreement on descriptors.
• Descriptors with 40-70% agreement were recirculated in subsequent rounds.

Main Results:

• 16 out of 30 initial descriptors achieved the 70% consensus threshold.
• Consensus descriptors cover surgical approach, materials used, anatomical details, and concurrent procedures.
• Key included descriptors: surgery type, dissection methods, mesh details, suture types, rectal imbrication/resection length, and associated repairs.

Conclusions:

• An international consensus on core intraoperative variables for rectal prolapse surgery has been established.
• The developed synoptic report facilitates defined operative reporting.
• This standardization is expected to enhance clinical communication, quality metrics, and research in the field.