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Success! SreyLean from Cambodia raised $657 to fund a wound repair that will help her walk again.

SreyLean
100%
  • $657 raised, $0 to go
$657
raised
$0
to go
Fully funded
SreyLean's treatment was fully funded on May 8, 2022.

Photo of SreyLean post-operation

May 20, 2022

SreyLean underwent a wound repair that will help her walk again.

SreyLean was grateful for her neighbor’s recommendation to travel to our medical partner CSC for her treatment. The procedure was successful, and she has been working with the physiotherapy team on walking. She hopes to walk without assistance soon and is excited to return to school.

SreyLean’s mother said: “I am grateful for the help of CSC. SreyLean’s leg is healing well, and the skin is better. She has less pain and wants to go to school again and be active. Thank you for the care she received at CSC, and thank you to the everyone who paid for her care so she can return home.”

SreyLean was grateful for her neighbor's recommendation to travel to our medical partner CSC for her treatment. The procedure was successful...

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March 10, 2022

SreyLean is a 15-year-old student in the tenth grade. She has one younger brother in grade seven. Her parents are rainy day rice farmers. SreyLean enjoys reading, cooking, and exercising with her friends. She likes math in school and would like to be a lawyer when she grows up.

A month ago, SreyLean was involved in a motorcycle collision on her way home from school and fractured her left knee. Her parents took her to a government hospital to repair the fracture, but because they couldn’t pay for her treatment, they left the hospital early. Her wound remains open and is not healing well. It is painful and she is unable to walk.

When SreyLean’s family learned about our medical partner, Children’s Surgical Centre (CSC), they traveled for three hours seeking treatment. On March 10th, surgeons at CSC will perform a muscle skin flap to to heal the open wound on her left leg. Now, she needs help to fund this $657 procedure.

“I hope that my leg will be quickly healed and this infection will go away. I want to be able to walk again,” SreyLean shared.

SreyLean is a 15-year-old student in the tenth grade. She has one younger brother in grade seven. Her parents are rainy day rice farmers. Sr...

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SreyLean's Timeline

  • March 10, 2022
    PROFILE SUBMITTED

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

  • March 10, 2022
    TREATMENT OCCURRED

    SreyLean 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.

  • March 12, 2022
    PROFILE PUBLISHED

    SreyLean's profile was published to start raising funds.

  • May 8, 2022
    FULLY FUNDED

    SreyLean's treatment was fully funded.

  • May 20, 2022
    TREATMENT UPDATE

    SreyLean's treatment was successful. Read the update.

Funded by 11 donors

Funded by 11 donors

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

Meet another patient you can support

100% of your donation funds life-changing surgery.