Inclusion Criteria:  Patients ageing from 18 to 60 years, American Society of Anesthesiologists (ASA) physical status I,II scheduled for elective open gynecological surgeries  Exclusion Criteria:  Patients with  Previous chemotherapy treatment, Disseminated malignant disease, BMI more than 40, Known allergy to one or more of the study medications Refusal to participate in the study Patients diagnosed with diabetes milieus either type I or type II, Patients with previous bariatric surgeries Patients under medications that delay gastric emptying (tricyclic anti-depressants, chronic use of laxatives)