Evaluation and Comparison Between General Anesthesia VS Two Types of Combined Anesthesia for Opioid Consumption in Laparoscopic Hysterectomy

The aim of the study is to evaluate and compare general anesthesia VS two types of combined anesthesia in opioid consumption after laparoscopic hysterectomy

Inclusion Criteria: * patients over 18 year of age, * ASA physical status I to III scheduled for laparoscopic hysterectomy (with or without adnexectomy) Exclusion Criteria: * patients with inability to consent, * patient refusal, * contraindication to spinal anesthesia (e.g., hemodynamic instability, infection at the surgery site, and neurologic defects such as transverse myelitis, coagulopathies or ongoing anticoagulant therapy), * known chronic pain syndrome, known * suspected non- compliance, * drug, or alcohol abuse , * major oncological surgeries, * allergy to drugs used in the protocol, * previous chronic use of analgesics * history of opioid abuse