ABSTRACT
Background: Endometrial cancer is the sixth most common malignancy in females according to Globocon data 2020 and has been increasing in recent years. Advanced stage, type II sub type, deep myometrial invasion and lymph node (LN) metastasis are Prognostic factors. Radiological imaging such as MRI quite useful for the detection of disease extent, still MR had a 10% false positive rate and a 35% false negative rate. So Surgical staging becomes mandatory to stage the disease for apparently uterine confined endometrial cancer includes TAH + BSO + LN Assessment either with minimally invasive or open technique along with peritoneal fluid cytology. Material And Methods: This study was a prospective observational study which was conducted under Department of Surgical Oncology, Government Rajaji Hospital and Madurai Medical College, Madurai. Non metastatic endometrial cancer FIGO stage IA-III who underwent surgical staging were studied. Thus, total 50 patients were studied. The study was carried out for a period of November 2022 to September 2023. The collected data was compiled in Microsoft Excel 2010. Data describing quantitative measures was expressed as mean, median, mean + SD, standard deviation. Qualitative type of data was expressed as percentage or proportion. Data was analyzed using SPSS (Statistical Programme for Social Sciences) software 21 version, Open Epi Software Version 2.3. Results: A total of 50 patients were enrolled in this study (median age was 58 years, ranging from 30 to 75 years). Mean NLR was 3.5 + 0.8 and 2.1+0.3 in positive and negative cases of lymph node metastasis respectively. And mean PLR was 226.1 + 33.4 and 107.9+41.1 in positive and negative cases of lymph node metastasis respectively. Present study showed that LN metastasis was more frequently observed in patients with Type II tumor (p <0.001), Deep myometrial invasion (p =0.01), Cervical stromal invasion (p = 0.007), lymphovascular invasion (p<0.001), positive washing cytology, ..........

ABSTRACT
Pelvic Inflammatory Disease (PID) is a complex clinical syndrome that affects the female upper genital tract, including endometritis, salpingitis, oophoritis, and tubo-ovarian abscesses. Its etiology is predominantly associated with ascending infections, primarily by Neisseria gonorrhoeae and Chlamydia trachomatis, although in our population, the microbiota has been observed to play a significant role. PID can lead to serious complications such as adhesive syndrome, which can be a determinant of infertility, chronic pelvic pain, and ectopic pregnancy. This article reviews the global and Mexican epidemiology, pathogenic mechanisms, diagnostic criteria, therapeutic approaches, and current preventive strategies, highlighting the importance of early diagnosis and appropriate treatment to minimize long-term sequelae.

ABSTRACT
Since 2012, Mali has been going through a security crisis, characterized by armed attacks against civilians and soldiers; in the form of terrorist attacks or ambushes using different vulnerable agents. The lesions observed are often multiple and serious and can affect all organs to varying degrees. We report a case of ballistic trauma to the right scrotum with rupture of the testicular tunica albuginea in a soldier at his guard post in central Mali. This was a 28-year-old military patient, married, father of a child and with no medical or surgical history. The onset would go back a few hours approximately during an armed attack on their guard post located 30 kilometers from the hospital. Examination of the wound showed a bleeding albuginea with devitalization of a large part of the noble testicular tissue. The patient was hemodinamically stable and the operative blood test was normal. The abdominopelvic ultrasound was unremarkable. A debridement of the necrotic tissues was performed followed by closure of the tunica albuginea. The postoperative course was satisfactory. The patient received antitetanus serum therapy.