The objective of this study was to evaluate our technique and steps of robotic and laparoendoscopic single-site utero-sacral ligament suspension in the treatment of patients with symptomatic apical vaginal prolapse. A retrospective analysis was done using the data in 2 community hospital. Eighteen women presented with vaginal apex prolapse and desired minimally invasive surgery (video): (a) Laparoendoscopic single-site utero-sacral ligament suspension (LESS-UTSLS) (n = 13) or (b) robotic-assisted single-site utero-sacral ligament suspension (RASS-UTSLS) (n = 5) were eligible to participate. All participants underwent a standardized evaluation, including a structured urogynecologic history and physical examination with pelvic organ prolapse quantitative stage. Participants also completed validated questionnaire about pain scale. Multiples perioperative values were obtained to evaluate our minimally invasive approach. There were no differences in demographic, pre-operative anatomic, and functional data between groups. Concomitant anti-incontinence surgery with trans-obturator tape among the LESS-UTSLS vs RASS-UTSLS groups was performed in 2 (15 %) compared with 0 (0 %) and vaginal hysterectomy 2 (15 %) compared with supracervical hysterectomy 2 (40 %), respectively. The UTSLS operating time was similar in the RASS group compared with the LESS group (difference 9 min. There were only one POP (8 %) recurrence (stage 3) and one umbilical hernia (8 %) in the LESS-UTSLS group after 12 months of surgery. Two patients (15 %) developed stress urinary incontinence after LESS-UTSLS. We presented our technique and perioperative outcomes. RASS-UTSLS was similar operative times to LESS UTSL (+9 min), no differences in post-operative pain, anatomic support, or complications 6 months. We found that robotic surgical systems may accelerate the learning curve in the single-site surgery. Future investigations are warranted to discern the best applications for robotic single site technology in benign gynecologic surgery.

This paper describes three interactive artefacts created for a children's exhibition intended to encourage creativity and allow educational opportunities to emerge naturally through playful exploration. We describe five sensibilities that were used to inform our designs: considering artefacts as resources and scaffolds for imaginative engagement, rewarding extended investment, facilitating requisite unpredictability, encouraging an imaginative orientation to participation, and permitting multiple loci for interaction. Based on observation of how our interactives were used by the public, we discuss how our approach facilitated 'open interactions' in a manner that was sensitive to the museum context, favoured a mix of materialities, and manifested a subtle mix of participation and designer autonomy.

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up to 20% of women experience maternal mental health problems, but most jurisdictions lack policy for prevention, identification and treatment. To address this gap, a multi-stakeholder working group formed in saskatchewan, Canada. As a result, the motherfirst project emerged to create policies to improve the mental healthcare of mothers and to increase public and professional awareness. This paper critically analyzes the project using a policy cycle framework that can inform similar policy development. It explores the strengths of diverse partnerships, relationship building and public awareness campaigns, and the challenges that were encountered in the decision-making and implementation stages. RésuméPrès de 20% des femmes éprouvent des problèmes de santé mentale liés à la maternité. Pourtant dans la plupart des provinces, il y a un manque de prévention, de dépistage et de traitement concertant ces problèmes. Pour corriger cette situation, on a créé un groupe de travail à intervenants multiples en saskatchewan (Canada). de cette initiative est né le projet motherfirst, qui vise à établir des politiques pour améliorer les soins de santé mentale maternelle et pour accroî-tre la sensibilisation du public et des professionnels. Cet article propose une discussion critique du projet, effectuée à l' aide d'un cadre d' analyse sur les cycles de politiques, qui peut éclairer l' élaboration de ce type de politiques. L' article examine les points forts des divers partenariats, des relations entre acteurs des campagnes de sensibilisation publique. Il examine également les défis rencontrés au cours de la prise de décision et pendant les étapes de mise en oeuvre.

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