JACS Highlights October 2025

The following articles appear in the October 2025 issue of the Journal of the American College of Surgeons. A complimentary online subscription to JACS is a benefit of ACS membership. See more articles on the JACS website.

Comparison of Outcomes of Microsurgical Breast Reconstruction after Premastectomy and Postmastectomy Radiation Therapy

Mark V. Schaverien, MD, MSc, Med, Puneet Singh, MD, FACS, Henry M. Kuerer, MD, PhD, FACS, and colleagues

The complication rate for microsurgical breast reconstruction was similar for premastectomy radiation therapy (RT) followed by mastectomy with immediate breast reconstruction and postmastectomy RT (PMRT) followed by delayed breast reconstruction. However, nine of 66 patients (14%) in the PMRT group with tissue expander placement required explantation because of complications. Read more.

Robotic vs. Laparoscopic vs. Open Ventral Hernia Repair: Insights from a Network Meta-Analysis of Randomized Clinical Trials

Giulia Almiron da R Soares, Josélio Rodrigues de Oliveira Filho, MD, Pedro Bicudo Bregion, and colleagues

This network meta-analysis of 34 studies found that open operation had the shortest operative time, laparoscopic intraperitoneal onlay mesh reduced wound infection risk, and robotic surgery had prolonged duration. No significant differences were observed in recurrence, seroma, or hematoma rates. Surgical approach should be individualized based on patient factors. Read more.

Meaningful Community Partnership: Recommendations from the Improving Social Determinants to Attenuate Violence (ISAVE) Workgroup of the American College of Surgeons Committee on Trauma

Tracey A. Dechert, MD, FACS, Altovise Love-Craighead, MS, Meera Kotagal, MD, MPH, and colleagues

ISAVE, a workgroup of the ACS Committee on Trauma, was formed in 2019 with the goal of developing strategies to help trauma centers better address the root causes of violence. This multidisciplinary workgroup represents the collective effort of professionals, hospitals, and communities to implement effective initiatives that enhance health and healthcare for marginalized communities that are disproportionately impacted by violence. This paper provides a framework for community engagement. Read more.

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