Objectives: To describe the frequency and spectrum of different types of gynecological malignancies )malignant tumors of the female genital tract( and to characterize the pattern of gynecological neoplasms in different age groups in Al-

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Aims: We aimed to investigate the effect of various vaginal wash solutions on reducing risks of postcesarean endometritis, wound infections, fever, and hospital stay duration. Methods: Scopus, Web of Science, PubMed, and Cochrane Library were searched for randomized clinical trials that compared different vaginal wash solutions to each other or to "no vaginal cleaning"; without restriction on the age of parturients or site where trials were conducted. We analyzed this frequentist network meta-analysis using the netmeta package in R software version 4.1.2; synthesized data as mean difference or risk ratio with their 95% confidence intervals. Results: Our network meta-analysis included 29 RCTs with a total sample size of 9311 women undergoing CS. Regarding post-cesarean endometritis, we found that povidone-iodine had the highest significant risk reduction compared to "no vaginal cleaning" (RR = 0.08, 95% CI [0.01, 0.69]). While regarding postcesarean reduction of wound infection, fever, and hospital stay duration, we found that chlorhexidine 4% (RR = 0.17, 95% CI [0.05, 0.65]), saline 0.9% (RR = 0.12, 95% CI [0.03; 0.48]), and saline 0.9% (MD = À1.29, 95% CI [À2.18; À0.39]), respectively, had the highest significant risk reduction compared to "no vaginal cleaning." Conclusion: Vaginal wash solutions were associated with a significant reduction of post-cesarean endometritis, wound infection, fever, and hospital stay duration. Since povidone-iodine had the highest significant