Introduction: Minimally invasive gynecological procedures offer significant benefits over traditional surgeries, including reduced recovery times and lower complication rates. Anesthetic management plays a crucial role in optimizing patient outcomes and satisfaction. However, evidence guiding the optimal choice of anesthetic technique is limited. The study aimed to assess intraoperative hemodynamics, perioperative pain management, incidence of adverse events, and patient satisfaction.

Material and Methods: This prospective cohort study included 100 patients undergoing minimally invasive gynecological procedures at Mamata Medical College. Patients were allocated to anesthetic techniques based on clinical judgment and preference. Data on intraoperative hemodynamics, Visual Analog Scale (VAS) pain scores, time to first analgesic request, total analgesic consumption, patient satisfaction, and adverse events were collected and analyzed.

Results: The study found that all anesthetic techniques provided effective intraoperative hemodynamic stability and postoperative pain control. General anesthesia was the most commonly used technique (49%), followed by spinal anesthesia (33%) and combined spinal-epidural anesthesia (18%). The mean time to first analgesic request was 3.8 hours, with an average VAS score of 2.9. Adverse events were consistent with expected rates, with nausea/vomiting (19%), hypotension (21%), and urinary retention (12%) being the most common. Patient satisfaction was high across all groups, with an average score of 8.0 out of 10.