Patient-Reported Outcomes of Robotic vs Laparoscopic Ventral Hernia Repair With Intraperitoneal Mesh

The PROVE-IT Randomized Clinical Trial

Clayton C. Petro, MD; Sam Zolin, MD; David Krpata, MD; et al

JAMA Surg. Published online October 21, 2020. doi:10.1001/jamasurg.2020.4569

Key Points

Question  Does robotic ventral hernia repair with intraperitoneal mesh offer a clinical benefit compared with the traditional laparoscopic approach?

Findings  In this single-blinded, randomized clinical trial of 75 patients, no significant difference in pain, complications, quality of life, and hospital length of stay was found. The 52-minute increase in median operative time of the robotic approach incurring additional cost is not countered by a measurable benefit.

Meaning  There is no apparent clinical benefit to the robotic approach when compared with the traditional laparoscopic ventral hernia repair with intraperitoneal mesh.