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Success! Neang Nech from Cambodia raised $606 to fund excision and flap surgery.

Neang Nech
100%
  • $606 raised, $0 to go
$606
raised
$0
to go
Fully funded
Neang Nech's treatment was fully funded on December 12, 2019.

Photo of Neang Nech post-operation

December 26, 2019

Neang Nech underwent a tumor removal surgery.

Neang Nech’s operation to remove a tumor went well but her eye is still a bit swollen. Surgery has improved her quality of life by removing the mass and allowing her to see out of her right eye again. Surgery is also important to prevent the tumor from spreading and to ensure Neang does not suffer from any worsening of the condition. She feels happy that she can return to her work and family in the village.

She shared, “I am so happy that the tumor was removed and that my face is not as swollen as before, and I am able to see out of my eye again.”

Neang Nech's operation to remove a tumor went well but her eye is still a bit swollen. Surgery has improved her quality of life by removing ...

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December 2, 2019

Neang Nech is a 23-year-old cosmetics seller from Cambodia. She has four sisters and enjoys listening to music and watching television in her free time.

Since she was five years old, Neang Nech has suffered from a tumor under her right eye. The tumor has been increasing slowly over time, and she cannot see clearly out of her right eye.

When Neang Nech learned about our medical partner, Children’s Surgical Centre, she traveled for four hours seeking treatment. On December 3rd, surgeons at CSC will perform a tumor excision procedure and facial reconstruction to help her see clearly again. Now, she needs help to fund this $606 procedure.

“I hope that after surgery, I will no longer have to worry about my daughter’s eyes and I hope she will be able to see again,” said Neang Nech’s mother.

Neang Nech is a 23-year-old cosmetics seller from Cambodia. She has four sisters and enjoys listening to music and watching television in he...

Read more

Neang Nech's Timeline

  • December 2, 2019
    PROFILE SUBMITTED

    Neang Nech was submitted by Lindsay Bownik, Stakeholder Relations Officer at Children's Surgical Centre, our medical partner in Cambodia.

  • December 03, 2019
    TREATMENT OCCURRED

    Neang Nech received treatment at Kien Khleang National Rehabilitation Centre. 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 03, 2019
    PROFILE PUBLISHED

    Neang Nech's profile was published to start raising funds.

  • December 12, 2019
    FULLY FUNDED

    Neang Nech's treatment was fully funded.

  • December 26, 2019
    TREATMENT UPDATE

    Neang Nech's treatment was successful. Read the update.

Funded by 1 donor

Profile 48x48 589fbadd efcd 4457 b1c0 38cd87c88a22

Funded by 1 donor

Profile 48x48 589fbadd efcd 4457 b1c0 38cd87c88a22
Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $606 for Neang Nech's treatment
Hospital Fees
$118
Medical Staff
$440
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.

Benjamin

Benjamin is a 63-year-old man from Kenya. He is a quiet man who works hard and normally keeps to himself. Two weeks ago, Benjamin sustained an injury on his left hand while coming from his farm. It had rained heavily and Benjamin was rushing home. On his way, he fell on a hard surface and when he stood up, he realized that he could not lift his hand and was feeling pain on his left hand. Benjamin could not access treatment the same day because there’s no health facility near his home. The following morning, Benjamin was accompanied by his wife to a health centre. Because they were not confident of treating him, they just placed a sling on his arm and referred him to a district hospital for further care. Due to lack of finances, Benjamin and his wife returned home to look for money and after three days they were able to go to the hospital. Due to the ongoing medical practitioners strike, no one was there to help them and they finally decided to come to Watsi's Medical Partner Care Center called AIC Kapsowar Hospital. The first returned home to look for money to gather for their travel and other expenses. Because of their socioeconomic status, it took them another ten days to raise USD130 through the help of their neighbors. On arrival to our partner hospital, an x-ray was done which confirmed his left humerus fracture. Treatment requires surgery and an implant to fix his fracture. Benjamin was born and raised in a small village called Kamok where most people work in farms or other small unsteady jobs. He has a family and has been blessed with eight children, five girls and three boys. Benjamin never was able to have a formal education so he doesn’t speak Kiswahili, but his local language Marakwet. His family lives in a small mud hut with grass as a roof and they get their food from their small farm, consisting mostly of millet, beans, and vegetables. Benjamin likes spending his days on his farm. He is the breadwinner of the family and now feels distressed because he can’t provide for them due to his condition. He is worried about the obstacles his family would face if his hand will not be treated and also learning that he has arthritis. Their family doesn’t have money to pay for his surgery and his wife shared that this would be "almost impossible" for them. Fortunately, surgeons at our medical partner can help. On September 18th, Benjamin will undergo a fracture repair procedure, called an open reduction and internal fixation. The surgery will help him regain utility of his hand and be free from pain and any other complications arising from untreated fractures. Now, our medical partner, African Mission Healthcare Foundation, is requesting $1,016 to fund this procedure. Benjamin shared with us, “I just want not to be in pain anymore and be healthy and happy and have a good life because my family needs me the most.”

71% funded

71%funded
$730raised
$286to go

Meet another patient you can support

100% of your donation funds life-changing surgery.