Comparison of Performing V-Notes Hysterectomy Under Spinal Anesthesia and General Anesthesia

Vaginal natural orifice transluminal endoscopic surgery is recognized as a significant advancement in women's health, representing an extension of minimally invasive surgery. Research and clinical experience with this technique are ongoing, contributing to its increasing adoption as a suitable option for a broader patient population. The aim of this study is to evaluate vaginal natural orifice transluminal endoscopic surgery hysterectomy performed under general anesthesia versus regional anesthesia in terms of surgical comfort, length of hospital stay, postoperative pain, and other relevant clinical outcomes, as well as to compare patients' recovery times.

Inclusion Criteria: American Society of Anesthesiologists (ASA) physical status classification I-II Exclusion Criteria: History of tubo-ovarian abscess Presence or history of deep endometriosis Suspected pelvic adhesions Nodule in the pouch of Douglas Fixed uterus Sexually inactive patients