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Tra is a rubber tree farmer from Cambodia who needs $657 to fund a skin flap and deep wound repair.

Tra
58%
  • $385 raised, $272 to go
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$272
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January 9, 2020

Tra is a 20-year-old rubber tree farmer from Cambodia. He is the youngest of four siblings, and enjoys playing soccer, listening to music, and watching television.

Six months ago, Tra was in a traffic accident and fractured his lower left leg. After initial treatment at a nearby hospital, Tra’s bone is now exposed, and he is unable to walk without support and is in constant pain.

When Tra learned about our medical partner, Children’s Surgical Centre, he traveled for four hours seeking treatment. On January 9th, surgeons at CSC will perform a skin flap and debridement procedure, as well as an external frame to help his wounds to heal properly and allow him to walk comfortably again. Now, he needs help to fund this $657 procedure.

“I hope that my injuries will be able to heal and that I will no longer be in pain and can walk again,” he shared.

Tra is a 20-year-old rubber tree farmer from Cambodia. He is the youngest of four siblings, and enjoys playing soccer, listening to music, a...

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Tra's Timeline

  • January 9, 2020
    PROFILE SUBMITTED

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

  • January 09, 2020
    TREATMENT OCCURRED

    Tra 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.

  • January 09, 2020
    PROFILE PUBLISHED

    Tra's profile was published to start raising funds.

  • February 02, 2020
    AWAITING UPDATE

    Awaiting Tra's treatment update from Children's Surgical Centre.

  • TODAY
    AWAITING FUNDING

    Tra is currently raising funds for his treatment.

Funded by 7 donors

Funded by 7 donors

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

Saw Eh

Saw Eh is a 25-year-old man from Thailand. He lives with his wife and two children in a refugee camp in northern Thailand. He works as a security guard in the camp while his wife looks after their two young children. His family receives 821 baht (approx. 27 USD) each month from an organisation called The Border Consortium as part of their rations, and he also earns 700 baht (approx. 23 USD) in a month from working as a security guard. Their monthly income is just enough to pay for their basic expenses. In the early morning of June 1st, 2020, at around 9:00 am, Saw Eh left the camp to forage for bamboo shoots in the jungle. While climbing over some slippery boulders, a few larger rocks from above him rolled down towards him. Unfortunately, Saw Eh could not avoid the falling rocks and was hit on the head and right leg. He was knocked unconscious and had no idea how long it took him to regain consciousness. When he did, he was in severe pain and cried out loudly for help. Luckily, a man was nearby and heard him shouting for help. The man fetched a few others to help him carry Saw Eh to the clinic in the refugee camp. At the clinic, the medic directly referred Saw Eh to Mae Sariang Hospital, as they knew they could not treat him in the camp. When he arrived at Mae Sariang Hospital, he received an x-ray, which confirmed that both bones in Saw Eh's right lower leg are fractured. The doctor then referred him to a hospital in Chiang Mai immediately, as he would need to receive surgery at a larger hospital, to ensure his leg heals properly. Currently, Saw Eh's right leg is in pain as well as his head. He cannot walk nor move his right leg. With the help of our medical partner, Burma Children Medical Fund, Saw Eh will undergo surgery to reset his fractured bones and ensure proper healing. The procedure is scheduled for June 1st and will cost $1,500. The surgery will stop Saw Eh from being in pain and will help his leg heal properly. He will then be able to walk again.

82% funded

82%funded
$1,236raised
$264to go

Meet another patient you can support

100% of your donation funds life-changing surgery.