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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.

Myo

Myo Htay is a 22-year-old who lives with his parents and younger brother in the border region of Burma. His parents work as day laborers at a gold mine, carrying dirt and debris. Myo used to work with his parents but stopped last November when his health deteriorated. Because the gold mine closes during the rainy season, his parents only have work for six months out of the year. The rest of the time they try to live off of their savings. Around six months ago, Myo started to feel tired when he worked. At first he thought he was tired from working too hard. When he continued to feel tired for over a month, he thought that he needed to see a doctor. However, because of their limited funds, he did not want his parents to spend what they had on a trip to a clinic or a hospital. Around the middle of April, his condition worsened. He had difficulty breathing, experienced chest pain, and also heart palpitations. His parents brought him to a nearby hospital where he was diagnosed with a heart disease. The doctor told them to bring him to Yangon for further treatment. After Myo's parents borrowed money, they went to Yangon and took him to two different hospitals. At the last hospital, Myo was admitted for five days as he was unwell at that time. He received a follow-up appointment for two weeks later, but was brought back on April 30th when he developed rapid breathing, heart palpitations, chest pain and oedema (swelling) in both his legs. Myo was readmitted to the hospital, and the doctor told Myo's parents that his surgery would cost 20,000,000 kyat (approx. $11,000 USD). When they told the doctor that they cannot afford to pay for his surgery, a nurse gave them the phone number of an abbot in Yangon. After they called the abbot and told him what the doctor had said, the abbot referred Myo to our medical parter Burma Children Medical Fund for the assistance accessing the cardiac treatment he needs. Currently, Myo is on oxygen. If he does not receive oxygen, he has difficulty breathing as well as heart palpitations. He cannot walk for more than three minutes and if he does, he feels extremely tired. His whole family is worried about his condition. Fortunately, Myo's surgery has been scheduled for May 8th. He will have both valves of his heart replaced. His family needs $1,500 to help with the total cost of his surgery and care. Myo’s mother said, “I would give up everything to save my son’s life. I would sleep on the ground if we had no home to live in. I only wish to see my son getting better.”

60% funded

60%funded
$905raised
$595to go

Meet another patient you can support

100% of your donation funds life-changing surgery.

Myo

Myo Htay is a 22-year-old who lives with his parents and younger brother in the border region of Burma. His parents work as day laborers at a gold mine, carrying dirt and debris. Myo used to work with his parents but stopped last November when his health deteriorated. Because the gold mine closes during the rainy season, his parents only have work for six months out of the year. The rest of the time they try to live off of their savings. Around six months ago, Myo started to feel tired when he worked. At first he thought he was tired from working too hard. When he continued to feel tired for over a month, he thought that he needed to see a doctor. However, because of their limited funds, he did not want his parents to spend what they had on a trip to a clinic or a hospital. Around the middle of April, his condition worsened. He had difficulty breathing, experienced chest pain, and also heart palpitations. His parents brought him to a nearby hospital where he was diagnosed with a heart disease. The doctor told them to bring him to Yangon for further treatment. After Myo's parents borrowed money, they went to Yangon and took him to two different hospitals. At the last hospital, Myo was admitted for five days as he was unwell at that time. He received a follow-up appointment for two weeks later, but was brought back on April 30th when he developed rapid breathing, heart palpitations, chest pain and oedema (swelling) in both his legs. Myo was readmitted to the hospital, and the doctor told Myo's parents that his surgery would cost 20,000,000 kyat (approx. $11,000 USD). When they told the doctor that they cannot afford to pay for his surgery, a nurse gave them the phone number of an abbot in Yangon. After they called the abbot and told him what the doctor had said, the abbot referred Myo to our medical parter Burma Children Medical Fund for the assistance accessing the cardiac treatment he needs. Currently, Myo is on oxygen. If he does not receive oxygen, he has difficulty breathing as well as heart palpitations. He cannot walk for more than three minutes and if he does, he feels extremely tired. His whole family is worried about his condition. Fortunately, Myo's surgery has been scheduled for May 8th. He will have both valves of his heart replaced. His family needs $1,500 to help with the total cost of his surgery and care. Myo’s mother said, “I would give up everything to save my son’s life. I would sleep on the ground if we had no home to live in. I only wish to see my son getting better.”

60% funded

60%funded
$905raised
$595to go