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Success! Somanith from Cambodia raised $657 to fund mass excision surgery.

Somanith
100%
  • $657 raised, $0 to go
$657
raised
$0
to go
Fully funded
Somanith's treatment was fully funded on January 27, 2022.

Photo of Somanith post-operation

February 7, 2022

Somanith underwent mass excision surgery.

Specialty surgeons are not available in Somanith’s province, and she was fortunate to travel to our medical partner Children’s Surgical Centre for her complex surgery. Surgery was successful and although her face is still swollen from the surgery, the mass is gone. Somanith is hopeful she won’t have to hide the way she looks anymore.

Somanith said: “Thank you to everyone who supported me. I am so relieved the surgeons were able to remove the mass. I was ashamed and feared my face would be like this forever. Now I can finish my schooling.”

Specialty surgeons are not available in Somanith's province, and she was fortunate to travel to our medical partner Children's Surgical Cent...

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December 7, 2021

Somanith is a 17-year-old university student. She is the oldest child in her family and has two siblings: an 8-year-old brother in 2nd grade and a 12-year-old sister in 4th grade. Somanith is in her first year at university, where she is studying accounting. Her father works for the government, and her mother stays at home to care for her siblings. Somanith likes to read books, exercise, and meet up with friends in her free time.

Six months ago, Somanith noticed swelling on the left side of her face and thought it was from her wisdom tooth. She received a biopsy at the government hospital, which revealed she has a mass called ameloblastoma. Somanith is experiencing swelling and pain and is concerned with how quickly the mass has grown. Specialty surgeons will need to perform an excision and histology to determine her future treatment.

When Somanith learned about our medical partner, Children’s Surgical Centre (CSC), she traveled across the country for eight hours seeking treatment. On December 7th, surgeons at CSC will perform an excision to remove the mass and help Somanith feel comfortable again. CSC is requesting $657 to fund her procedure.

Somanith shared that she is hopeful the tumor will be easily removed and the biopsy will be benign.

Somanith is a 17-year-old university student. She is the oldest child in her family and has two siblings: an 8-year-old brother in 2nd grade...

Read more

Somanith's Timeline

  • December 7, 2021
    PROFILE SUBMITTED

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

  • December 7, 2021
    TREATMENT OCCURRED

    Somanith 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
    PROFILE PUBLISHED

    Somanith's profile was published to start raising funds.

  • January 27, 2022
    FULLY FUNDED

    Somanith's treatment was fully funded.

  • February 7, 2022
    TREATMENT UPDATE

    Somanith's treatment was successful. Read the update.

Funded by 15 donors

Funded by 15 donors

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $657 for Somanith's treatment
Hospital Fees
$118
Medical Staff
$491
Medication
$0
Supplies
$40
Labs
$3
Radiology
$5
  • 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.

Ko

Ko Kyaw lives with his wife and two daughters in the border region of Tak Province in Thailand. He is a homemaker while his wife works as a day laborer. He plans to send his older daughter to a Thai school in the new school year, but his younger daughter is still too young to go to school. In early 2021, Kyaw was still living in his village in Myawaddy Township in Burma but it has been a very challenging time for his community ever since the military coup. He and his wife were injured in an emergency involving the local soldiers who came to their area. Luckily other villagers came to their rescue and Kyaw was treated for fractures on both his upper and lower leg, where a metal rod was inserted to help him heal. Now the bone in his thigh is misshapen and doctors have diagnosed osteomyelitis (infected bone). His doctor told him that in order to heal, he would need to have the metal rods replaced in both his upper and lower leg. Currently, Kyaw’s left leg is in a lot of pain. He can only bend his leg slightly and needs to use crutches to get around. With his leg in pain, Ko Kyaw spends most of his time helping out with household chores he can do and teaching his oldest daughter how to read and write in Burmese. He feels frustrated that since his leg was broken, he cannot support his family. Our medical partner Burma Children Medical Fund is helping to pay the cost of his treatment and is raising $1500 to cover his surgery, which will take place on May 10th. “I feel upset that I cannot support my family as the head of the house,” he said. “We only have my wife’s income. We do not have our own house to live in. I want to say a lot of things but I cannot express what I want to say. I never thought that I would lose my house, my possessions and that my leg would be in pain.”

58% funded

58%funded
$880raised
$620to go
Ni

Ni lives with her mother & four siblings in Yangon, Burma. Her two younger sisters work in a clothing factory, while her mother and one brother are homemakers. Her other brother works as a driver assistant. Ni works in a factory that produces alcohol and in her free time, she enjoys watching television with her family. She also enjoys teaching English to their neighbor's children on the weekends. In July 2019, Ni started to experience chest pain and difficulty breathing. She went to a hospital in Yangon and was told she might have a problem with her kidney. When she did not feel any better after taking medication for a month, she went to another hospital in Yangon. She received multiple diagnostic tests and was told that her kidney is healthy but she has a heart condition. After receiving an echocardiogram, she was diagnosed with atrial septal defect (ASD). The doctor told her she would need heart surgery, but Ni told the doctor she could not afford to pay for it. Ni received medication and went back home. Unfortunately, she was unable to go back to the hospital for follow up because the hospital closed after the country's military coup. Due to the deteriorating security condition in their area, Ni’s family decided to go back to their village near Mandalay. Around her village, she could not find a pharmacy that sold her medication. When her family finally traveled back to Yangon she was feeling better and decided not to purchase more of the special medication she needed. Then in January, Ni felt like she could not breathe well, and experienced chest pain and rapid breathing again. She went to a hospital, where the doctor referred her to Pun Hlaing Hospital. After she undergoing more diagnostic tests, the doctor told her she would need to receive surgery costing 9,000,000 kyats (approx. $9,000 USD). When she told the doctor she could not afford to pay for it, the doctor gave her the phone number of a nurse who may be able to help. When Ni called the nurse, the nurse told her about our medical partner Burma Children Medical Fund (BCMF) who is now helping Ni access treatment. On March 13th she will undergo cardiac surgery to close the Atrial Septal Defect. Currently, Ni has chest pain and difficulty breathing. Sometimes, she has rapid breathing at night. She cannot sleep well because she is always worried about her condition. Ni shared, "I am very scared to receive surgery but if I do not receive this treatment, I will not live a long life. I am so happy to receive treatment and I would like to say thank you so much to all the donors."

77% funded

77%funded
$1,168raised
$332to go

Meet another patient you can support

100% of your donation funds life-changing surgery.