Reducing Operative Blood Loss in Laparoscopic Myomectomy With Umbilico-uterine Trunk Clipping

Inclusion Criteria: * Age between 19 and 45 * Symptoms of menorrhagia, pelvic pain, or infertility * Plan to have a laparoscopic myomectomy * Number of myomas ≤ 4, with the largest myoma measuring ≤ 9 cm Exclusion Criteria: * Postmenopausal status * Dominant pedunculated subserosal FIGO classification (6-7) * Submucosal type of myoma FIGO classification (0-2) * Suspicion of malignant uterine or adnexal diseases * Major medical comorbidities or psychiatric illnesses that could affect follow-up and/or compliance * Refusal to participate or provide consent to the procedures.