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Success! ChyHan from Cambodia raised $450 to fund corrective surgery.

ChyHan
100%
  • $450 raised, $0 to go
$450
raised
$0
to go
Fully funded
ChyHan's treatment was fully funded on February 1, 2017.

Photo of ChyHan post-operation

February 1, 2017

ChyHan underwent successful corrective surgery.

Surgeons removed the nevus and performed a skin graft from her left ear. Following the procedure, she was given pain medication. Her sutures were removed ten days after the procedure.

ChyHan’s mother says, “I am really happy to see my daughter look better.”

Surgeons removed the nevus and performed a skin graft from her left ear. Following the procedure, she was given pain medication. Her sutures...

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December 7, 2016

ChyHan is a five-month-old girl from Cambodia. She has two sisters and two brothers. She likes to stay at home with her mother.

ChyHan was born with a nevus, or a raised birthmark, on her left lower and upper eyelids. Doctors predict that the nevus will grow as ChyHan grows.

When ChyHan’s parents learned about our medical partner, Children’s Surgical Centre (CSC), the family traveled for four hours to seek treatment. On December 8, surgeons at CSC removed the nevus and performed a skin graft procedure. This surgery will allow ChyHan to feel comfortable as she grows. CSC is requesting $450 to fund this treatment.

ChyHan is a five-month-old girl from Cambodia. She has two sisters and two brothers. She likes to stay at home with her mother. ChyHan w...

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ChyHan's Timeline

  • December 7, 2016
    PROFILE SUBMITTED

    ChyHan was submitted by Lindsay Bownik, Stakeholder Relations Officer at Children's Surgical Centre.

  • December 8, 2016
    TREATMENT OCCURRED

    ChyHan 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.

  • January 4, 2017
    PROFILE PUBLISHED

    ChyHan's profile was published to start raising funds.

  • February 1, 2017
    FULLY FUNDED

    ChyHan's treatment was fully funded.

  • February 1, 2017
    TREATMENT UPDATE

    ChyHan'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 $450 for ChyHan's treatment
Hospital Fees
$105
Medical Staff
$345
Medication
$0
Supplies
$0
  • 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.

Choury

Choury is a shy, 18 year old girl living with her widowed mother in Kandal province in Cambodia. Her brothers are all married and live away from home, while her mother works as a rainy day rice farmer. In her free time, Choury enjoys playing tennis, swimming, cooking, listening to music, and meeting with her friends. Since Choury was about three months old, she has had problems with her mouth. For the past ten years, she has had frequent infections, accompanied by fevers, near her left ear, and stiffness near her temporomandibular joint - which connects the jaw to the skull. Because her father has passed away, her mother has not been able to afford any medical care for Choury. Choury is unable to open her mouth, which makes it difficult for her to eat and drink, and she always wears a mask due to her low self-esteem resulting from her face and frequent infections. Choury has been diagnosed with recurrent ankylosis and chronic osteitis. The ankylosis - and the constant inflammation in her jawbone - cause severely limited jaw function, as well as oral hygiene and nutritional problems. Fortunately, our medical partner, Children's Surgical Centre, can help. They plan to do surgery on December 6th at Kien Khleang Rehabilitation Centre. Her family needs help with the $469 cost of her surgery and hospitalization. After surgery, Choury hopes she will be able to open her mouth, to speak better, and to no longer feel ashamed of her appearance. Choury said: "I hope the doctors can help me open my mouth better, and look like other people my age. I am embarrassed at work and feel poorly. I have not been able to eat real food. This would make me very happy."

47% funded

47%funded
$225raised
$244to go

Meet another patient you can support

100% of your donation funds life-changing surgery.

Choury

Choury is a shy, 18 year old girl living with her widowed mother in Kandal province in Cambodia. Her brothers are all married and live away from home, while her mother works as a rainy day rice farmer. In her free time, Choury enjoys playing tennis, swimming, cooking, listening to music, and meeting with her friends. Since Choury was about three months old, she has had problems with her mouth. For the past ten years, she has had frequent infections, accompanied by fevers, near her left ear, and stiffness near her temporomandibular joint - which connects the jaw to the skull. Because her father has passed away, her mother has not been able to afford any medical care for Choury. Choury is unable to open her mouth, which makes it difficult for her to eat and drink, and she always wears a mask due to her low self-esteem resulting from her face and frequent infections. Choury has been diagnosed with recurrent ankylosis and chronic osteitis. The ankylosis - and the constant inflammation in her jawbone - cause severely limited jaw function, as well as oral hygiene and nutritional problems. Fortunately, our medical partner, Children's Surgical Centre, can help. They plan to do surgery on December 6th at Kien Khleang Rehabilitation Centre. Her family needs help with the $469 cost of her surgery and hospitalization. After surgery, Choury hopes she will be able to open her mouth, to speak better, and to no longer feel ashamed of her appearance. Choury said: "I hope the doctors can help me open my mouth better, and look like other people my age. I am embarrassed at work and feel poorly. I have not been able to eat real food. This would make me very happy."

47% funded

47%funded
$225raised
$244to go