“…Although TLH performed on an outpatient basis has been reported to be safe, well tolerated, and cost effective [2], pain and postoperative nausea and vomiting (PONV) are common reasons for hospital admission [3]. Opioids are the drug of choice for perioperative pain relief but are associated with common side effects such as sedation, drowsiness, urinary retention, PONV, reduced gastrointestinal motility, and paralytic ileus [4].…”