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Background: The prognostic significance of preoperative prognostic nutritional index (PNI) in ovarian cancer (OC) is uncertain, and this study is aimed to clarify the prognostic significance. Methods: We used 4 common databases for conducting a systematic review and meta-analysis, and eligible studies were included in the analysis. The association of preoperative PNI with overall survival (OS), progression-free survival (PFS), and clinicopathological parameters was analyzed. Results: A total of 2050 patients with OC receiving the surgical treatment were analyzed in this study. Patients with low PNI tended to have a shorter OS (hazard ratio [HR] = 1.82, 95% CI = 1.30–2.55, P < .01) and PFS (HR = 1.91, 95% CI = 1.53–2.39, P < .01) compared with those with high PNI. Besides, low PNI was significantly associated with more advanced International Federation of Gynecology and Obstetrics stage ( P < .01), the occurrence of ascites ( P < .01), larger residual tumor ( P < .01), insensitive to chemotherapy ( P < .01), and higher CA125 ( P < .01) compared with high PNI in OC. Conclusion: Low preoperative PNI is associated with shorter OS, shorter PFS, and worse clinicopathological parameters in OC. Low preoperative PNI is an unfavorable prognostic indicator of patients with OC.

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Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.

Introduction: Shoulder pain is one of the most common complications after laparoscopy. Previous studies have found a number of methods to reduce shoulder pain after laparoscopic surgery, but these methods have not been targeted to specific populations. The purpose of this study was to identify people who are more likely to develop shoulder pain.

Pelvic organ prolapse (POP) is a high risk benign condition that occurs in 40%-60% of women. 1 Apical prolapse is defined as descent of the uterus or vaginal vault after hysterectomy. 2 Loss of vaginal apical support usually cause symptomatic and serious prolapse, which might extend beyond the hymen. 3 Therefore, reconstruction or strengthening of the support for the apex of the vagina is a key point in POP surgery. Various procedures are used for reconstructing the vaginal apex support, such as sacrospinous ligament fixation (SSF), uterosacral ligament suspension, and synthetic grafts. 4 Laparoscopic sacral hysteropexy (LSH)/ sacrocolpopexy (LSC) and SSF are the main applications for repairing apical vaginal support.

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