Expert consensus for key components of a high-quality ventral hernia repair operative note

Background: Ventral hernia repair (VHR) is one of the most commonly performed procedures by surgeons; however, there remains a lack of consensus for key components of operative reporting. Prior literature has identified several key elements that are recommended for inclusion in ventral hernia repair operative notes, but it is unclear whether these details alone make for a high-quality operative note. This study sought to determine whether experts agree on what factors make a ventral hernia repair operative note high-quality. Study Design: A prospective exploratory sequential survey-based mixed-methods design was used for round 1. Conclusions via thematic analysis from survey responses were used to establish themes/subthemes to be included in a high-quality ventral hernia repair operative note. Round 2 used a convergent design and sought to evaluate the importance of these identified themes/subthemes. Results: Twenty-four surgeons were approached, 16 of whom completed both rounds. Nine themes and 3 subthemes were identified as essential for inclusion in a high-quality ventral hernia repair operative note. Round 2 determined that the 5 most important themes to include are accurate/adequate/pertinent details, clarity in writing, detailed/specific/comprehensive information, objective reporting of findings and procedures, and justification/rationale for decisions. Conclusion: Based on expert consensus, this study suggests that high-quality operative notes require more than just detailed information. Instead, they must incorporate qualities spanning the 9 identified themes to ensure clarity, comprehensiveness, and effectiveness.