Ice pack on the belly may ease pain after keyhole hysterectomy

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Scheduled to undergo elective vaginal natural orifice transluminal endoscopic surgery hysterectomy. * Patients with benign gynecological indications including uterine leiomyoma, adenomyosis, or abnormal uterine bleeding. * Patients with premalignant gynecological indications including atypical endometrial hyperplasia or cervical intraepithelial neoplasia. * Patients managed strictly under the standardized institutional Enhanced Recovery After Surgery protocol. * Patients with an American Society of Anesthesiologists physical status classification of I or II. * Patients who demonstrate adequate cognitive capacity to understand and utilize the Visual Analog Scale and Face Pain Index. * Patients who voluntarily provide signed written informed consent prior to participating in the clinical study. Exclusion Criteria: * Patients with a documented history of chronic pelvic pain or systemic chronic pain syndromes. * Patients with known hypersensitivity, allergy, cold urticaria, or intolerance to local cryotherapy or cold applications. * Patients with a history of prior major open abdominal surgery * Active pregnancy, suspected pregnancy, or current lactation status at the time of enrollment. * Patients with severe systemic diseases including uncontrolled diabetes mellitus, severe hepatic impairment, or end-stage renal disease. * Coagulation disorders, active bleeding diathesis, or patients on mandatory continuous anticoagulant therapy. * Diagnosed psychiatric disorders, severe depression, anxiety, or cognitive impairment preventing valid clinical outcome scoring. * Intraoperative conversion from vaginal natural orifice transluminal endoscopic surgery to conventional laparoscopy or open laparotomy. * Patients experiencing major intraoperative complications including severe vascular, bladder, bowel, or ureteral injury. * Patients requiring perioperative blood product transfusion due to significant estimated blood loss during surgery.