Five-year outcomes of the PROVE-IT randomized controlled trial: Patient-Reported Outcomes of Robotic vs. Laparoscopic Ventral Hernia Repair with Intraperitoneal Mesh - Summary - MDSpire

Five-year outcomes of the PROVE-IT randomized controlled trial: Patient-Reported Outcomes of Robotic vs. Laparoscopic Ventral Hernia Repair with Intraperitoneal Mesh

  • By

  • Erika M. Schmidt

  • William C. Bennett

  • Noah X. Tocci

  • Alvaro C. Carvalho

  • Cammy Tang

  • Chao Tu

  • Kimberly S. Miles

  • Luciano Tastaldi

  • Benjamin T. Miller

  • Lucas R. Beffa

  • David M. Krpata

  • Clayton C. Petro

  • Ajita S. Prabhu

  • July 9, 2026

  • 0 min

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Objective:

To report 5-year follow-up outcomes comparing laparoscopic and robotic approaches to ventral hernia repair with intraperitoneal onlay mesh.

Approach:
  • Study Design: Single-center, patient-blinded randomized controlled trial comparing laparoscopic and robotic IPOMs for midline ventral hernias.
  • Patient Follow-up: Follow-up at 5 years involved querying the Abdominal Core Health Quality Collaborative and manual review of electronic medical records.
  • Outcome Measures: Patient-reported outcomes included hernia-specific quality of life, pain intensity, and patient-reported bulging.
Key Findings:
  • At 5 years, patient-reported outcomes included hernia-specific quality of life, pain intensity, and clinical recurrence rates.
Interpretation:

Limitations:
  • Existing studies have small patient cohorts and short-term follow-up.
  • The study is limited to a single-center experience.
Conclusion:

The 5-year follow-up of the PROVE-IT trial aims to enhance understanding of long-term outcomes in robotic versus laparoscopic ventral hernia repair.

Sources:

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