Transluminal endoscopic surgery performed through the natural opening via the vagina is a more comfortable, scarless and less complicated method for patients. This method is similar to laparoscopic surgery and is usually performed under general anesthesia. Regional anesthesia is known to be the most comfortable anesthesia type and has less pain, nausea and vomiting during postoperative recovery. Our aim in this study is to evaluate the results by performing the surgery under regional anesthesia.

Inclusion Criteria: Female patient between the ages of 30-70 Preoperative anesthesia evaluation will be evaluated as ASA 1-2 according to the American Society of Anesthesiologists (ASA) physical status Patients who are given a hysterectomy indication due to uterus, cervix and/or adnexal condition and will undergo V-NOTES will be included in the study.

Exclusion Criteria:

Patients contraindicated for spinal anesthesia or pneumoperitoneum, those with a history of tubo-ovarian abscess, deep endometriosis or suspected pelvic adhesions

hysterectomy