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Success! Sreymean from Cambodia raised $606 to fund a mass removal procedure.

Sreymean
100%
  • $606 raised, $0 to go
$606
raised
$0
to go
Fully funded
Sreymean's treatment was fully funded on July 21, 2019.

Photo of Sreymean post-operation

July 21, 2019

Sreymean underwent a mass removal procedure.

Sreymean has returned home after a successful operation. She has gone through proper post-operative care to make sure her wounds heal properly and do not become infected. Thanks to surgery, she will be able to grow up and go about daily life without the risk of the nexus expanding or becoming cancerous.

Sreymean has returned home after a successful operation. She has gone through proper post-operative care to make sure her wounds heal proper...

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June 18, 2019

Sreymean is a first grade student from Cambodia. She likes to watch television and read books, and hopes to become an English teacher when she grows up.

Sreymean was born with a condition known as nevus, affecting her face and both lower and upper body. She has large patches of darkened skin and hair due to the proliferation of melanocytes, and is at risk for the condition to expand over time with the potential to turn malignant.

When Sreymean learned about our medical partner, Children’s Surgical Centre, she traveled for half an hour seeking treatment. On June 18, surgeons at CSC will perform giant nevus excision to remove the nevus from her skin, preventing its expansion and growth. Now, she needs help to fund this $606 procedure.

Her mother says, “I hope that my daughter’s surgery goes well so that she will be able to look better and so that I will not have to worry about her condition anymore.”

Sreymean is a first grade student from Cambodia. She likes to watch television and read books, and hopes to become an English teacher when s...

Read more

Sreymean's Timeline

  • June 18, 2019
    PROFILE SUBMITTED

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

  • June 18, 2019
    TREATMENT OCCURRED

    Sreymean 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.

  • June 18, 2019
    PROFILE PUBLISHED

    Sreymean's profile was published to start raising funds.

  • July 21, 2019
    FULLY FUNDED

    Sreymean's treatment was fully funded.

  • July 21, 2019
    TREATMENT UPDATE

    Sreymean's treatment was successful. Read the update.

Funded by 7 donors

Funded by 7 donors

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