ABSOLUTELY: A Temporary Uterine Blood Supply Occlusion for Laparoscopic Myomectomy in Patients With UTErine LeiomYoma

Inclusion Criteria: * Symptomatic uterine leiomyoma * Size of leiomyoma node \>5 cm based on imaging * Leiomyoma node types 3, 4, 5, 6 according to The International Federation of Gynecology and Obstetrics (FIGO) classification or type 2 not feasible to be removed during hysteroscopy * Single or multiple nodes * Absent contraindications for laparoscopic myomectomy * Voluntarily signed informed consent to participate in the study Exclusion Criteria: * Age \< 18 years * Asymptomatic uterine leiomyoma * Size of leiomyoma node \<5 cm based on imaging * Absence of leiomyoma node types 3, 4, 5, 6 according to FIGO classification and type 2 not feasible to be removed during hysteroscopy * Planned simultaneous hysteroscopy with leiomyoma node excision * Current pregnancy and breastfeeding * Suspicion of a malignant uterine tumor * Prior uterine leiomyoma surgery * Contraindications for laparoscopic myomectomy * Lack of decision-making capacity hindering signing the consent to participate in the study