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Success! Havireak from Cambodia raised $657 to fund treatment for a skin infection.

  • $657 raised, $0 to go
to go
Fully funded
Havireak's treatment was fully funded on October 14, 2020.

Photo of Havireak post-operation

July 9, 2020

Havireak underwent treatment for a skin infection.

Havireak’s surgery was successful, his wound has been cleaned and closed. He no longer has any damaged tissue in the area, and the skin that was used to cover the wound is healing well. Once he fully recovers, he will no longer feel pain or discomfort in that area. He will be able to sit and sleep comfortably.

His mother shared, “I am so happy the doctors could heal this injury that my son had. I had to help him all the time to clean the wound, but now he will be healed and he will not require as much special care.”

Havireak's surgery was successful, his wound has been cleaned and closed. He no longer has any damaged tissue in the area, and the skin that...

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June 1, 2020

Havireak is a 31-year-old man from Cambodia with one older brother. Havireak has developmental disabilities and has never worked outside of the family home. Due to his needs, his mother looks after him.

Havireak’s father passed away many years ago from liver cancer. His mom is retired so she has time to care for him but she is getting older making things more difficult. Havireak’s brother supports them both.

Two years ago a skin ulceration on Havireak’s buttocks developed. The skin became infected and there is a large wound of the sacral region. This limits his ability to sit and sleep in a comfortable position. As it has grown it has become more painful and infected.

When Havireak learned about our medical partner, Children’s Surgical Centre, he traveled to the hospital seeking treatment. On June 1st, surgeons at CSC will perform a debridement and skin flap procedure to clear out infected skin and close the wound. He will be able to feel comfortable again and not require so much special care from his family. Now, he needs help to fund this $657 procedure.

His mom says, “his condition worries me so much and I am worried that if it gets any worse I can not continue helping him each day.”

Havireak is a 31-year-old man from Cambodia with one older brother. Havireak has developmental disabilities and has never worked outside of ...

Read more

Havireak's Timeline

  • June 1, 2020

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

  • June 1, 2020

    Havireak 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.

  • June 2, 2020

    Havireak's profile was published to start raising funds.

  • July 9, 2020

    Havireak's treatment was successful. Read the update.

  • October 14, 2020

    Havireak's treatment was fully funded.

Funded by 14 donors

Funded by 14 donors

Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $657 for Havireak'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.

Phyo Ko

Phyo Ko is a 33-year-old man, living in Thailand with his wife and two young children. Originally from Burma, Phyo Ko and his family moved to Thailand in 2009, in search of better job opportunities. Phy Ko's wife stays home with the children, who are too young to go to school, while Phyo Ko works as a construction day laborer, earning under $12 a day. In early 2021, Phyo Ko and his friend were at work at a construction site, when scaffolding fell onto Phyo Ko's left hand and thigh. Initially, he used oil made from traditional medicine to ease the pain. However, a month after the accident, Phyo Ko noticed that there was a mass on his left leg, so he sought medical attention. The first doctor he visited could find nothing wrong, and sent Phyo Ko back home. His mass continued to grow in size, and the pain increased, making it impossible for Phyo Ko to continue working, so once again, he went to the hospital. This time, there were no doctors available to see him because of the pandemic. Finally, in April, Phyo Ko was able to receive a CT scan, thanks to our medical partner Burma Children Medical Fund and the Watis community. The CT scan revealed a hematoma, which requires surgical intervention. On June 16th, Phyo Ko will undergo surgery at Mae Sot General Hospital, to have the mass removed from his thigh. After the procedure, Phyo Ko should be able to walk, stand and work without pain, something he is unable to do now. Burma Children Medical Fund is seeking $1,500 to cover the costs of Phyo Ko's surgery. Phyo Ko said: "I would like to receive surgery soon so that the pain will go away. Before I received the CT scan, I was told that my leg could be be amputated because the mass on my leg is very big. However, after the CT scan, the doctor told me that they could remove the mass without amputation. I was so happy to hear this. I want to work and earn an income for my family after surgery."

66% funded

$497to go

Meet another patient you can support

100% of your donation funds life-changing surgery.