The formation of a uterine scar after laparoscopic myomectomy now remains relevant especially for patients planning pregnancy. The laparoscopic access can minimize surgical trauma and reduce the risk of an adhesive process, but the issues associated with the functional state of a uterine scar following laparoscopic removal of complex interstitial nodules remain controversial. None of the previously proposed preventive techniques that contribute to a reduction in intraoperative blood loss is completely reliable and safe. Objective — to optimize laparoscopic myomectomy. Material and methods. This proposed patented technique for laparoscopic myomectomy that temporary occludes the internal iliac arteries avoids the limitations of the laparoscopic access and minimizes the risk of an adhesive process. We proposed a laparoscopic myomectomy technique using angiosurgical preballooning of the internal iliac arteries for cases in which an access to vessels can be difficult. Results. This technique has been used to operate on patients at the Department of Gynecology, City Clinical Hospital Fifty-Two, in 2014 to 2016. There were 1 to 5 myoma nodules; their sizes were 3 to 9 cm. Blood loss amounts were as high as 150 ml. Surgery lasted 60—90 min. The length of hospital stay was 3—4 days. Conclusion. A number of the techniques described in the paper can perform laparoscopic myomectomy without blood loss, form a reliable uterine scar under good visualization, and prevent the adhesive process. This technique allows the limitations of laparoscopic approach to be mitigated in myomectomy. The authors declare no conflicts of interest.