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Surgeon offers new approach page 3
Now at Mary Washington Hospital: lung surgery through small incisions

 A CT scan of a Anita Froggatt's lung shows a mass in the upper lobe of her right lung (left).
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Date published: 9/30/2007

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The stapler looks like a caulking gun, with a long snout and an angry set of teeth. When Sherwood placed a vessel in its mouth and pulled the trigger, it cut the vessel and sealed the ends with six lines of staples.

A misfire, he said, would be an emergency, with blood spilling into the chest.

But the stapler worked perfectly. Sherwood cut and sealed the vein, and with it out of the way, he could see two of the pulmonary arteries, like white threads, beneath it.

He sealed those arteries, then the windpipe and a third artery.

Cut to close

"Fifteen millimeters," he said to Bowmar, the scrub tech at the table.

He had separated the lobe and was ready to remove it. He wanted the larger of the two retrieval bags that Bowmar had.

The bag had a long handle and looked like the net used to catch a fish in an aquarium.

Sherwood folded it, then pushed it into the chest. With his other hand, he used a grasper to coax the lobe into the bag.

Soon the lobe and 20 nodes that he had plucked from the chest were sealed in paper cups for shipment to the lab. If the mass is cancer, the nodes will show how far it had traveled.

To finish, Sherwood removed his tools and sewed shut the incisions. He left a drainage tube inside Froggatt and two thin catheters to deliver pain medication. They would come out later. It was 11 a.m.

From "cut to close" was 21/2 hours, he said.

Outside, Sherwood found Warren Froggatt, Anita's husband, to tell him that the operation had gone so well that he was sending Anita to the recovery room, rather than to intensive care.

"Everything came out without difficulty," Sherwood said. "There was clearly a mass there we could see in the lobe of the lung. I don't know what it is yet. We sent a little piece of it off for culture."

Froggatt spent one night in the hospital and left the next afternoon. On Friday at her home, she said she was tired and sore.

She wondered if she had been too active Thursday, when she took her first shower and walked to the mailbox with her husband.

"I don't feel too bad," she said.

She still had not heard from the lab. She's betting that the mass was from a fungus she picked up while living in Arizona.

Jim Hall: 540/374-5433
Email: jhall@freelancestar.com


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The Fredericksburg area's medical community has grown in recent months with the addition of Dr. Timothy Sherwood, a thoracic surgeon, and a host of other specialists and sub-specialists. Among them are:

Drs. Maha Alattar, Sandra Crouse and Amandeep Sangha arrived this summer to serve as inpatient and outpatient neurologists at Mary Washington Hospital. Alattar is also a sleep specialist. She completed a fellowship in sleep disorders at The Cleveland Clinic.

Drs. Brian Mirza and Victor Stelmack arrived this summer to do bariatric, or weight-loss, surgery. Mirza also completed fellowship training at The Cleveland Clinic in minimally invasive surgical procedures.

Drs. Reshma Parab, Leslie Taguba and Francisco Cruz arrived in March to begin an inpatient and outpatient endocrinology practice at the hospital.

Dr. Kay Blanchard arrives this week from Houston to work as the area's first female general surgeon and the first female surgeon to specialize in breast cancer.

Also new are Dr. Rod Flynn, a surgical oncologist; Dr. Avnit Ahuta, a rheumatologist; and Dr. Lawrence Roberts, a trauma surgeon and medical director of the hospital's new trauma service.

--Jim Hall