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Success! Tra from Cambodia raised $657 to fund a skin flap and deep wound repair.

  • $657 raised, $0 to go
to go
Fully funded
Tra's treatment was fully funded on November 9, 2020.

Photo of Tra post-operation

February 2, 2020

Tra underwent a skin flap and deep wound repair.

Tra’s operation went well. Surgery has improved his quality of life by treating his open wound and preventing further infection. Surgery is also important to ensure Tra does not have further worsening of his condition. He feels happy that he can return to his work and family in the village.

Tra shared, “I am so glad that my wounds are healing and that I am no longer in anymore pain, and that I can walk again.”

Tra's operation went well. Surgery has improved his quality of life by treating his open wound and preventing further infection. Surgery is ...

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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...

Read more

Tra's Timeline

  • January 9, 2020

    Tra was submitted by Lindsay Bownik, Stakeholder Relations Officer at Children's Surgical Centre.

  • January 9, 2020

    Tra 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.

  • January 9, 2020

    Tra's profile was published to start raising funds.

  • February 2, 2020

    Tra's treatment was successful. Read the update.

  • November 9, 2020

    Tra's treatment was fully funded.

Funded by 11 donors

Funded by 11 donors

Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $657 for Tra's treatment
Hospital Fees
Medical Staff
  • 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.

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Abi is a one-year-old baby from Ethiopia who loves to play with his mother. His father serves in their church, and his mother is a homemaker. His parents share that their income is limited and only supports their basic day-to-day needs. Abi's parents also share that he was born prematurely, along with his twin sister, who unfortunately passed away after birth. Since birth, Abi has had a bilateral inguinal hernia, a condition that results from weakness in the abdominal wall, as well as hypospadias, which will need treatment in the future. The hernia causes him to experience irritability, pain, discomfort, and a reduced appetite. Despite his mother traveling to multiple different hospitals in attempts to have her son treated, he still has not received his much-needed hernia repair surgery due to his family's financial constraints. Fortunately, Abi will finally undergo hernia repair surgery on August 16th with the help of our medical partner, African Mission Healthcare Foundation (AMHF). Now, AMHF is requesting $591 to fund Abi's surgery. Once completed, this procedure will hopefully allow him to live more comfortably and confidently. His mother shares, “We are having a hard time since the birth of Abi. He is suffering, and we couldn’t get him the treatment. I am always afraid of losing him, as I lost his twin sister. He can’t sit, and I am worried it’s because of his condition. He vomits the food I feed him. But since I got here, I have hope that he will get the treatment and heal. I hope he will sit and eat well after the surgery.”

35% funded

$381to go

Meet another patient you can support

100% of your donation funds life-changing surgery.