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er risk of major postoperative complications after nonobstetric surgery compared with their White counterparts. To examine the effects of intraoperative ovarian capsule rupture on progression-free survival and overall survival in women who are undergoing surgery for early-stage ovarian cancer. MEDLINE using PubMed, EMBASE (Elsevier), ClinicalTrials.gov, and Scopus (Elsevier) were searched from inception until August 11, 2020. High-quality studies reporting survival outcomes comparing ovarian capsule rupture to no capsule rupture among