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Success! Srey Noch from Cambodia raised $657 to fund an excision and flap surgery.

Srey Noch
  • $657 raised, $0 to go
to go
Fully funded
Srey Noch's treatment was fully funded on March 15, 2022.

Photo of Srey Noch post-operation

April 1, 2022

Srey Noch underwent a successful excision and flap surgery.

Srey Noch’s surgery was a success! She underwent extensive surgery to remove the mass on her mandible. The surgery caused facial swelling which will affect the way she eats, drinks, and speaks over the next few weeks, but she is relieved that the mass will be gone. She will stay in the hospital for several weeks while surgeons monitor her carefully to make sure the flap used to rebuild her jaw is healing well. After she heals, she’s eager to return home to her province and her family. She hopes to find another job soon to help support her family.

Srey Noch shared, “my children miss me and wonder where I have gone. I am so happy to tell them I will be home soon, and my face will be normal again. Everyone is so kind to me during this time. I am grateful to the staff and all the people who helped me to have this surgery.”

Srey Noch's surgery was a success! She underwent extensive surgery to remove the mass on her mandible. The surgery caused facial swelling wh...

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December 7, 2021

Srey Noch is a 29-year-old married mother of two children from Cambodia. She and her husband have two daughters, one who is nine years old and in school, and another who is four. Her husband works as a car repairman, while Srey Noch works in a clothes factory. In her free time, Srey Noch enjoys cooking for her family and watching television with her family.

Two years ago, Srey Noch developed a painful mass on her right jaw. The mass has grown quickly and she is very worried about her health. She feels ill and is unable to open her mouth or eat solid food. She visited a local hospital for examination, and they referred her to our medical partner, Children’s Surgical Centre (CSC) for specialized surgery.

Srey Noch traveled to CSC for examination and treatment. She was diagnosed with ameloblastoma, or a non-cancerous tumor of the jaw area. On December 8th, surgeons at CSC will perform surgery to remove the mandibular mass and repair the wound with a fibular free flap. Now, Srey Noch needs help to fund this $657 procedure.

Srey Noch shared that she hopes the mass will be removed and not return. She said, “I want the surgery to cover my wound so that I can have a normal face again.”

Srey Noch is a 29-year-old married mother of two children from Cambodia. She and her husband have two daughters, one who is nine years old a...

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Srey Noch's Timeline

  • December 7, 2021

    Srey Noch was submitted by Ellen Interlandi, Stakeholder Relations at Children's Surgical Centre.

  • December 8, 2021

    Srey Noch 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 13, 2021

    Srey Noch's profile was published to start raising funds.

  • March 15, 2022

    Srey Noch's treatment was fully funded.

  • April 1, 2022

    Srey Noch's treatment was successful. Read the update.

Funded by 9 donors

Funded by 9 donors

Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $657 for Srey Noch's treatment
Hospital Fees
Medical Staff
  • 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.