Comparison of the Effects of Blocks on Postoperative Analgesia in Total Laparoscopic Hysterectomy Surgery

Inclusion Criteria: * Female patients aged between 18 and 65 years * Scheduled for elective total laparoscopic hysterectomy (TLH) * Classified as American Society of Anesthesiologists (ASA) physical status I or II * Able to provide written informed consent in accordance with the Declaration of Helsinki Exclusion Criteria: * Refusal to participate or inability to provide informed consent * Body mass index (BMI) ≥ 35 kg/m² * Inability to cooperate or follow instructions * Presence of spinal or paravertebral deformity * Known coagulopathy or use of anticoagulant therapy * Known hypersensitivity or allergy to local anesthetic drugs used in the study * Requirement for postoperative intensive care * History of chronic opioid use (longer than four weeks prior to surgery)