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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...

Read more
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.

  • June 18, 2019
    TREATMENT OCCURRED

    Sreymean 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.

  • 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.

Ar

Ar is a 28-year-old man who lives with his wife, three sons, and two daughters in a refugee camp. Originally from Burma, his family fled to Thailand 20 years ago due to civil war. His children attend school, except for his youngest daughter, who is not yet old enough. His wife is a homemaker and Ar works as a day laborer when work is available. Ar's family shared that, in addition to his day laborer pay, they receive a monthly cash card from The Border Consortium to purchase food in the refugee camp. Overall, the family's total monthly income is just enough to cover their basic needs. On September 2nd, Ar climbed a tamarind tree to pick tamarinds fruit. When the branch he was standing on suddenly broke, he fell and landed on his right arm and experienced pain in his back. He visited the camp hospital that day, and the medic initially determined that his arm was not broken. Due to recent positive COVID-19 cases in the refugee camp, Ar could not be immediately referred to the local hospital for further testing and was kept for observation at the camp hospital. When the pain in Ar's back and arm did not subside the next day, the medic referred Ar to the local hospital. After receiving a negative COVID-19 test, Ar was finally able to visit the hospital on September 6th, where he received an X-ray for his arm and a blood test for a second COVID-19 test. The X-ray revealed that his upper right arm is broken. With the help of our medical partner, Burma Children Medical Fund (BCMF), Ar will undergo surgery on September 8th to reset his fractured bones and ensure proper healing. The procedure will enable Ar to continue working in the future. BCMF is requesting $1,500 to fund this procedure. Ar shared, "I am scared to receive surgery. But I was told that I will not be able to work using my right arm if I do not receive surgery, so I gave my consent to the doctor. I hope that I will be able to work again after I receive treatment."

67% funded

67%funded
$1,015raised
$485to go

Meet another patient you can support

100% of your donation funds life-changing surgery.