This study aimed to determine the effects of Opioid-free anesthesia using dexmedetomidine and bilateral Transversus abdominis plane block on the quality of recovery, incidence of Opioid-free anesthesia, and post-operative pain and delirium in morbid obese patients undergoing gynecological surgeries.
50 female patients aged 21-65 years.
Patients with a Body mass index≥ 35 kg/m2
American society of Anesthesiology class II-III.
Undergoing elective gynecological surgeries.
Patient refusal.
History of allergy to local anesthetic.
Liver or renal pathology affecting drug elimination.
Mental dysfunction or cognitive disorders.