Clinical Research Directory

Inclusion Criteria: * Elective procedure: Patients scheduled for elective pure laparoscopic gynecologic surgery (e.g., ovarian cystectomy, endometriosis resection, diagnostic laparoscopy). * ASA Physical Status: I-II (i.e., healthy or mild systemic disease). BMI: 18-35 kg/m². Informed Consent: Able and willing to give written consent and comply with postoperative pain assessments. Exclusion Criteria: 1 - Malignancy: Known or suspected gynecologic malignancy requiring staging or radical surgery. 2\. Conversion: Intraoperative conversion to laparotomy. 3\. Coagulopathy: Bleeding disorders or therapeutic anticoagulation that cannot be paused perioperatively. 4\. Prior Major Pelvic Surgery: ≥ 2 previous open abdominal operations (to avoid confounding from adhesions). 5\. Intra-Abdominal Infection: Active pelvic inflammatory disease or untreated urinary tract infection. 6\. Chronic Pain/Opioid Use: Regular opioid use or chronic pelvic pain syndromes (endometriosis pain \> 6 months). 7\. Allergy/Contraindication: Allergy to standard analgesics or contraindication to intraperitoneal drain placement (e.g., severe adhesions).