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Success! Ratt from Cambodia raised $606 to fund repair surgery.

Ratt
100%
  • $606 raised, $0 to go
$606
raised
$0
to go
Fully funded
Ratt's treatment was fully funded on December 4, 2019.

Photo of Ratt post-operation

August 14, 2019

Ratt underwent repair surgery.

Ratt’s surgery went well and he’s been working with the physiotherapy team to improve the mobility and function in his leg. Surgery will allow Ratt to greatly improve his quality of life and allow him to walk and work without pain.

Ratt's surgery went well and he's been working with the physiotherapy team to improve the mobility and function in his leg. Surgery will all...

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August 4, 2019

Ratt is a 33-year-old rice farmer from Cambodia. He has one daughter, and enjoys helping the family with the housework in his free time.

In April 2018, Ratt suffered injuries from a traffic accident, resulting in an open fracture on his lower right leg. His right leg is swollen and the skin is open and not healing properly near the wound site.

When Ratt learned about our medical partner, Children’s Surgical Centre, he traveled for two and a half hours seeking treatment. On August 5, surgeons at CSC will perform flap revision to allow the skin around the fracture site to heal properly without risk of further exposure or infection. Now, he needs help to fund this $606 procedure.

He says, “I hope that after surgery, I will be able to walk without any pain and my leg will heal.”

Ratt is a 33-year-old rice farmer from Cambodia. He has one daughter, and enjoys helping the family with the housework in his free time. ...

Read more

Ratt's Timeline

  • August 4, 2019
    PROFILE SUBMITTED

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

  • August 05, 2019
    TREATMENT OCCURRED

    Ratt 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.

  • August 05, 2019
    PROFILE PUBLISHED

    Ratt's profile was published to start raising funds.

  • August 14, 2019
    TREATMENT UPDATE

    Ratt's treatment was successful. Read the update.

  • December 04, 2019
    FULLY FUNDED

    Ratt's treatment was fully funded.

Funded by 15 donors

Funded by 15 donors

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $606 for Ratt'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.

Meet another patient you can support

100% of your donation funds life-changing surgery.