Temporary Simultaneous Two-arterial Occlusions During Laparoscopic Myomectomy

Inclusion Criteria: * women with symptomatic myomas such as menorrhagia, pelvic pressure/pain, or infertility * women who were planning to undergo laparoscopic myomectomy * women who had ≤ 10 myomas, with the largest myoma ≤ 10 cm * women with regular menstrual bleeding * women who were not pregnant at the surgery * women between 19 and 48 years of age. Exclusion Criteria: * women who underwent concomitant complex surgical procedures at the time of laparoscopic myomectomy, such as severe adhesiolysis or resection for severe endometriosis * women who were in postmenopausal or climacteric status * women with a history of oophorectomy or salpingo-oophorectomy * women with any suggestion of malignant uterine or adnexal diseases * women with major medical comorbidities or psychiatric illnesses, which could affect follow-up and/or compliance * women who refused to participate or give consent to the procedures