Meet another patient

Watsi logo blueWatsi

Success! Nita from Cambodia raised $657 to fund a mass removal.

Nita
100%
  • $657 raised, $0 to go
$657
raised
$0
to go
Fully funded
Nita's treatment was fully funded on February 10, 2022.

Photo of Nita post-operation

March 4, 2022

Nita underwent a mass removal.

Nita was very afraid of surgery but felt comfortable with the expertise of the staff. Nita’s surgery was successful and a bone graft from her hip was used to reconstruct her jaw. Her health is progressing and she hopes to return home soon. Although she may need future care for the salivary gland tumor, Nita is hopeful she can now return to work and care for her family.

Nita said: “I am so grateful I was able to get care for my jaw. I hope my face will look normal again, and I can have a long life with my husband and daughter. Thank you for your help with my surgery.”

Nita was very afraid of surgery but felt comfortable with the expertise of the staff. Nita's surgery was successful and a bone graft from he...

Read more
December 6, 2021

Nita is a 31-year-old seller of Khmer beverages. She has a 6-year-old daughter. Her husband works for a company in the capital city of Phnom Penh in Cambodia. When not caring for her family, she likes to exercise, read books, and listen to music.

A year ago, a mass started growing on Nita’s right mandible, which she originally thought was a wisdom tooth. She visited a local hospital for a biopsy, and she was diagnosed with a low-grade mucoepidermoid carcinoma. She experiences pain and discomfort. She is scared she will be permanently disfigured or might die.

When Nita learned about our medical partner, Children’s Surgical Centre, she traveled for two hours seeking treatment. On December 6th, surgeons at CSC will perform a mandibulectomy and extensive facial reconstruction to to rid her body of the tumour and avoid permanent disfigurement. Now, she needs help to fund this $657 procedure.

She is hopeful that the tumor will be removed and she will quickly heal.

Nita is a 31-year-old seller of Khmer beverages. She has a 6-year-old daughter. Her husband works for a company in the capital city of Phno...

Read more

Nita's Timeline

  • December 6, 2021
    PROFILE SUBMITTED

    Nita was submitted by Sieng Heng at Children's Surgical Centre.

  • December 6, 2021
    TREATMENT OCCURRED

    Nita received treatment at Kien Khleang National Rehabilitation Centre in Cambodia. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • December 7, 2021
    PROFILE PUBLISHED

    Nita's profile was published to start raising funds.

  • February 10, 2022
    FULLY FUNDED

    Nita's treatment was fully funded.

  • March 4, 2022
    TREATMENT UPDATE

    Nita's treatment was successful. Read the update.

Funded by 17 donors

Funded by 17 donors

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $657 for Nita's treatment
Hospital Fees
$118
Medical Staff
$491
Medication
$0
Supplies
$40
Labs
$3
Radiology
$5
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

Flap surgery is used for large or complex wound repair. The wound may be too large to be closed directly or may not be amenable to grafting due to poor vascularization. A flap may also be favorable to grafting due to function or aesthetics. Such a wound can be caused by trauma, cancer, or burns, which may bring about disfigurement, pain, and exposure to infection.

​What is the impact on patients’ lives of living with these conditions?

Large wounds are disfiguring, and patients may face stigmatization and social rejection. Wounds will be prone to recurrent infections, which may cause further damage to the underlying tissue. Depending on the site of the wound, there may be functional loss and the patient may lose the ability to perform tasks independently.

What cultural or regional factors affect the treatment of these conditions?

For many Cambodians, the primary mode of transport is the motorcycle. Coupled with unregulated traffic and dangerous driving practices, motorcycle accidents are very common. Soft tissue injuries arising from these accidents are often large and complex, with flap surgery being the best approach to avoid skin necrosis or infection.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

Analysis of the wound location, vascularity of the wound bed, comorbidities, and cosmetic and functional significance must first be performed. Flaps can then be selected accordingly, with local and regional flaps being preferred over distant pedicled or free flaps. Prior to the skin transfer, debridement may be needed to remove dead or damaged skin. Local and regional flaps use adjacent tissue that is mobilized then advanced or pivoted into place. Distant flaps transfer tissue from a different part of the body and can be pedicled to preserve its original blood supply. The blood supply is cut off in free flaps and therefore will need to be joined to the local blood supply via microsurgery. Flap surgery can take anywhere from a short procedure for the most basic local flap, to many hours for the complex microsurgery associated with free flaps.

What is the impact of this treatment on the patient’s life?

Flap surgery allows the wound to heal much faster, avoiding infection risk and a long wait for the defect to develop scar tissue. In flap reconstructive surgery of an area of the body more aesthetically sensitive, such as the face, disfigurement is reduced and patients feel more confident.

What potential side effects or risks come with this treatment?

The most common cause of flap failure is vascular compromise. Loss of blood supply to the flap could lead to partial flap loss or even total flap necrosis. In the latter, the flap must be removed. Other complications include haematoma, seroma, surgical site infection, and complications specific to the donor site. However, all these complications can be avoided with regular post-op checks of the flap and acting quickly on any foreboding signs.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

Flaps and other reconstructive surgical procedures are accessible at local clinics and hospitals at a cost, and patients also often turn to traditional healers. Inadequate treatment or poorly designed flaps can contribute to unnecessary complications and prolonged suffering. Patients travel as much as twelve hours to reach Children's Surgical Centre for free surgery, arriving by bus, motorbike, or taxi.

What are the alternatives to this treatment?

Regular dressings with gauze and bandages can take many months and has a significant risk of infection, which may result in cutting away more tissue to treat it. Traditional medicine is available, but with unsuccessful results.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.