Evidence map›Paper›PMID 41466143›Full record

ArticleSurgical endoscopy2026

Long-term propensity-matched outcomes comparing laparoscopic with robotic ventral hernia repair with intraperitoneal mesh.

Daphne Remulla, Alvaro Carvalho, Kimberly P Woo, William C Bennett, Brianna L Slatnick, Kimberly S Miles, Li-Ching Huang, Benjamin T Miller, Clayton C Petro, David M Krpata and 2 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Pain outcomes in emergent versus elective ventral hernia repair: Propensity score matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Daphne RemullaDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA. remulld@ccf.org.ORCID 0000-0001-6856-9146
Alvaro CarvalhoDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Kimberly P WooDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
William C BennettDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Brianna L SlatnickDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Kimberly S MilesDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Li-Ching HuangDepartment of Biostatistics, Vanderbilt University, Nashville, TN, USA.
Benjamin T MillerDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Clayton C PetroDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
David M KrpataDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Ajita S PrabhuDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.
Lucas R BeffaDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44115, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent evidence has challenged the long-term durability of robotic ventral hernia repairs. However, long-term outcomes between laparoscopic and robotic approaches for intraperitoneal mesh repairs (IPOM) remain limited, underscoring a critical need to evaluate outcomes over extended follow-up periods.

methodsWe conducted a propensity-matched analysis of patients who underwent laparoscopic or robotic IPOM ventral hernia repair with permanent synthetic mesh. All patients completed a minimum 3-year follow-up in the Abdominal Core Health Quality Collaborative registry. The primary outcome was long-term hernia recurrence. Secondary outcomes included patient-reported pain, quality of life, and reoperations.

resultsFollowing propensity score matching, 362 robotic IPOM and 362 laparoscopic patients were analyzed. Robotic IPOM patients experienced longer operative times (36 vs. 17% exceeding 2 h, P < 0.001) but more same-day discharges (63 vs. 53%, P = 0.02). Six-year risk of recurrence was 39.0% in the robotic group and 38.5% in the laparoscopic group, with no significant differences between approaches (P = 0.95). This finding persisted on multivariate analysis adjusting for residual baseline differences, fascial closure status and mesh fixation technique (HR 1.01; 95% CI 0.60-1.68; P = 0.973). Objective radiographic or clinical evaluation confirmed 14.3% of R-IPOM and 12.5% of L-IPOM recurrences, with patient-reported outcomes comprising the remainder. Despite identical pain scores (PROMIS 3A: 31 vs. 31, P = 1.00), robotic IPOM patients demonstrated statistically higher quality-of-life scores (HerQLes: 92 vs. 88, P = 0.03) at three years, though this 4-point difference does not exceed the minimal clinically important difference (MCID) of 15.6 points. No differences were observed in long-term wound morbidity or reoperation rates.

conclusionsRobotic IPOM demonstrates equivalent long-term durability compared to laparoscopic approaches at a minimum 3-year follow-up. Robotic IPOM was associated with longer operative times but higher same-day discharge rates and marginally higher quality-of-life scores that do not meet clinically meaningful thresholds.

Indexed as

Hernia, VentralHerniorrhaphyLaparoscopyRobotic Surgical ProceduresSurgical MeshAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedOperative TimePropensity ScoreQuality of LifeRecurrenceReoperationIntraperitoneal onlay meshIPOMLaparoscopicRoboticVentral hernia

Identifiers

PMID41466143

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.