Publications by authors named "A D Novetsky"

Article Synopsis
  • Untreated obturator nerve injuries can lead to thigh weakness, sensation loss, and groin pain, warranting intraoperative neurosurgical consultation for repair, especially in robotic-assisted surgeries.
  • In a case study, a partial transection of the obturator nerve occurred during a laparoscopic hysterectomy, where surgeons used sutures and a porcine wrap for nerve coaptation and managed the repair site carefully to prevent tension.
  • The report emphasizes that a structured approach to nerve repair can enable full recovery of function in patients with obturator nerve injuries during robotic-assisted surgeries.
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Background: The HPV-automated visual evaluation (PAVE) Study is an extensive, multinational initiative designed to advance cervical cancer prevention in resource-constrained regions. Cervical cancer disproportionally affects regions with limited access to preventive measures. PAVE aims to assess a novel screening-triage-treatment strategy integrating self-sampled HPV testing, deep-learning-based automated visual evaluation (AVE), and targeted therapies.

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Objective: To describe the HPV-Automated Visual Evaluation (PAVE) Study, an international, multi-centric study designed to evaluate a novel cervical screen-triage-treat strategy for resource-limited settings as part of a global strategy to reduce cervical cancer burden. The PAVE strategy involves: 1) screening with self-sampled HPV testing; 2) triage of HPV-positive participants with a combination of extended genotyping and visual evaluation of the cervix assisted by deep-learning-based automated visual evaluation (AVE); and 3) treatment with thermal ablation or excision (Large Loop Excision of the Transformation Zone). The PAVE study has two phases: efficacy (2023-2024) and effectiveness (planned to begin in 2024-2025).

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Objective: Colposcopy is an important part of cervical screening/management programs. Colposcopic appearance is often classified, for teaching and telemedicine, based on static images that do not reveal the dynamics of acetowhitening. We compared the accuracy and reproducibility of colposcopic impression based on a single image at one minute after application of acetic acid versus a time-series of 17 sequential images over two minutes.

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