{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T21:30:43Z","timestamp":1786397443032,"version":"build-2736575974"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Patient-Reported Outcomes of Robotic vs. Laparoscopic Ventral Hernia Repair with Intraperitoneal Mesh (PROVE-IT) randomized controlled trial previously demonstrated comparable pain at 1\u00a0year postoperatively between laparoscopic (lapIPOM) and robotic (rIPOM) approaches, although with potential differences in quality of life and recurrence. We aim to report 5-year follow-up of the PROVE-IT trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients previously enrolled in PROVE-IT, a registry-based randomized controlled trial published in October 2020, were reviewed. Outcomes including hernia-specific quality of life (Hernia-Related Quality-of-Life Survey [HerQLes]), pain intensity (Patient-Reported Outcomes Measurement Information System [PROMIS 3a]), patient-reported bulging (Hernia Recurrence Inventory [HRI]), clinical hernia recurrences, and reoperations were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median time to clinical follow-up was 65\u00a0months [interquartile range (IQR) 56, 71]. Patient-reported outcomes were obtained for 49 of 75 patients (26 lapIPOM, 23 rIPOM). Clinical follow-up (physical exam and\/or cross-sectional imaging) was completed for 64 of 75 patients (30 lapIPOM, 34 rIPOM). Median HerQLes and PROMIS 3a scores were 92 [IQR 68, 99] and 31 [IQR 31, 31] in the laparoscopic group and 92 [IQR 78, 95] and 31 [IQR 31, 31] in the robotic group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.91 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.86, respectively). Patient-reported bulging rates were 27% (lapIPOM) and 30% (rIPOM),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.00. Clinical recurrence rates were 10% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093) in the laparoscopic group and 24% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) in the robotic group,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.27. Of fourteen abdominal reoperations (8 lapIPOM, 6 rIPOM,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.57), two laparoscopic patients required elective reoperation for recurrence and no patients required mesh excision. There were no reoperations for recurrence in the robotic group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this exploratory analysis, postoperative quality of life, pain intensity, recurrence, and reoperation rates were found to be comparable between laparoscopic and robotic IPOMs at 5\u00a0years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-026-13028-5","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:40:15Z","timestamp":1783611615000},"page":"7043-7049","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Five-year outcomes of the PROVE-IT randomized controlled trial: Patient-Reported Outcomes of Robotic vs. Laparoscopic Ventral Hernia Repair with Intraperitoneal Mesh"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0795-3087","authenticated-orcid":false,"given":"Erika M.","family":"Schmidt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah X.","family":"Tocci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro C.","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cammy","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Tu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly S.","family":"Miles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"Tastaldi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin T.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas R.","family":"Beffa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Krpata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clayton C.","family":"Petro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajita S.","family":"Prabhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"13028_CR1","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1001\/jamasurg.2020.4569","volume":"156","author":"CC Petro","year":"2021","unstructured":"Petro CC, Zolin S, Krpata D, Alkhatib H, Tu C, Rosen MJ, Prabhu AS (2021) Patient-Reported Outcomes of Robotic vs Laparoscopic Ventral Hernia Repair With Intraperitoneal Mesh: the PROVE-IT randomized clinical trial. JAMA Surg 156:22\u201329. https:\/\/doi.org\/10.1001\/jamasurg.2020.4569","journal-title":"JAMA Surg"},{"key":"13028_CR2","doi-asserted-by":"publisher","first-page":"1160","DOI":"10.1097\/XCS.0000000000000171","volume":"234","author":"CC Petro","year":"2022","unstructured":"Petro CC, Thomas JD, Tu C, Krpata DM, Beffa LR, Rosen MJ, Prabhu AS (2022) Robotic vs Laparoscopic Ventral Hernia Repair with Intraperitoneal Mesh: 1-year exploratory outcomes of the PROVE-IT randomized clinical trial. J Am Coll Surg 234:1160\u20131165. https:\/\/doi.org\/10.1097\/XCS.0000000000000171","journal-title":"J Am Coll Surg"},{"key":"13028_CR3","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1016\/j.jamcollsurg.2012.06.412","volume":"215","author":"DM Krpata","year":"2012","unstructured":"Krpata DM, Schmotzer BJ, Flocke S, Jin J, Blatnik JA, Ermlich B, Novitsky YW, Rosen MJ (2012) Design and initial implementation of HerQLes: a hernia-related quality-of-life survey to assess abdominal wall function. 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Miller is a consultant for Boston Scientific and Medtronic and has received speaking fees from BG Medical, a research grant from American Hernia Society, and research funding from Integra. Lucas R. Beffa is a consultant for Gore and Abbvie and is on the advisory board for Vertex Pharmaceuticals. David M. Krpata is a consultant for Gore and has received a research grant from TelaBio. Clayton C. Petro is a consultant for Advanced Medical Solutions, TelaBio, Medtronic, and Gore and has received an institutional research grant from Merck. Erika M. Schmidt, William C. Bennett, Noah X. Tocci, Alvaro C. Carvalho, Cammy Tang, Chao Tu, Kimberly S. Miles, Luciano Tastaldi, and Ajita S. Prabhu have no conflicts of interest or financial ties to disclose.","order":1,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}}]}}