Design: The study involves a retrospective analysis of 2 cases in which patients had symptomatic uterine fibroids who underwent laparoscopic myomectomy with temporary occlusion of uterine arteries, with follow up during the procedure and until the patients where discharged from the hospital.

Setting: In the operating room, the patient was positioned in modified dorsal lithotomy. The surgical team consisted of three members: the first surgeon positioned on the left side of the patient, the second surgeon on the right side, and a third surgeon using a uterine manipulator.

Patients or Participants: 2 patients with symptomatic uterine fibroids who underwent laparoscopic myomectomy with temporary occlusion of uterine arteries.

Interventions: During laparoscopic myomectomy, temporary occlusion of uterine arteries was achieved using bulldog vascular clamps. The procedure aimed to minimize blood loss and facilitate the removal of fibroids while preserving the uterus, minimizing patient morbility.

Measurements and Main Results: The primary outcomes assessed were the efficacy of the temporary vascular occlusion of uterine arteries in reducing blood loss during surgery. This procedure has been shown to not significantly increase operative times but does notably reduce blood loss, the average decrease in hemoglobin after surgery, and the need for transfusions during and after the procedure.

Conclusion: Laparoscopic temporary uterine artery occlusion combined with myomectomy offers the advantage of reduced intraoperative bleeding, mitigating the need for blood transfusions, and minimizing postoperative morbidity, thereby enhancing patient outcomes.By employing this approach, multiple large fibroids can be effectively removed while significantly reducing the risk of blood loss, underscoring its efficacy in improving surgical outcomes.