Meet another patient

Watsi logo blueWatsi

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...

Read more
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.


Kim is a 43-year-old married father of a 15-year-old son. While his family has a rice farm and tends farm animals to sell at the market, Kim also works in the city in construction, to add to the financial support for his family. When he is home, he enjoys meeting with his friends, and watching boxing on TV. In May, Kim was in a motor collision with another motorbike, badly injuring his left shoulder and forearm. He went to the local hospital, where he underwent surgery, and had hardware placed that would hold the fractured bones in his arm together. Despite the surgery, his forearm continues to be very painful, and he experiences tingling in his fingers, although he can't move them. In addition to these symptoms, his fingers are bent into a claw like position, because of damage to a major nerve that controls the muscles in his hand and arm. His arm is weak, and he cannot work with his left hand, so he is unable to pursue jobs in construction. The loss in pay from his construction work has made it difficult for his family financially, and Kim is worried about their future. Fortunately, our medical partner, Children's Surgical Centre, is here to help Kim access the care that he needs. Children's Surgical Centre is requesting your help to fund a $572 procedure, which is scheduled for September 12th. During this surgery, physicians at Kien Khleang National Rehabilitation Centre will perform a nerve exploration and a bone graft, to complete the repair of Kim's arm, enabling him to return to his construction work, and to a life without pain. Kim shared: "After surgery, I hope my arm will have no more pain, I will heal soon, and will be able to work with my hand for my family again."

12% funded

$499to go

Meet another patient you can support

100% of your donation funds life-changing surgery.