Read our powered by our community 🙌 Check out our 🙌
Meet another patient

Watsi logo blueWatsi

Sonara is a 37-year-old single office worker from Cambodia who needs $673 to fund surgery to remove a possibly cancerous lesion and enable him to walk without pain.

Sonara
0%
  • $0 raised, $673 to go
$0
raised
$673
to go
Dedicate my donation


We'll send your dedicatee an email
about your gift, along with updates
about Sonara's recovery.

January 2, 2023

Sonara is a 37-year-old office worker living in Phnom Penh, the capital of Cambodia. He is single and lives with his elderly father and two sisters. His father is the village chief, his older sister works in a music store, and his younger sister works in an office. When not working, he enjoys reading books.

Several days ago, he noticed a wound on the sole of his left foot. Since he was 17, he remembers having a small black mole on his foot, but until recently, he did not have pain. The mole has recently increased in size and hinders his ability to walk. Because most people never check their feet for signs of melanoma, unfortunately it often spreads before it is noticed.

When Sonara learned about our medical partner, Children’s Surgical Centre, he traveled for one and a half hours seeking treatment. On January 3rd, surgeons at CSC will perform an excision and biopsy of the mole on the left sole, medial plantar flap, and inguinal node biopsy to determine if he has melanoma and if it has spread. In addition, surgeons will replace the part of his sole that has been excised with a local flap. Now, he needs help to fund this $673 procedure.

Sonara said: “I am lucky to know about CSC, I hope the pain in my foot goes away and I can return to work.”

Sonara is a 37-year-old office worker living in Phnom Penh, the capital of Cambodia. He is single and lives with his elderly father and two ...

Read more

Sonara's Timeline

  • January 2, 2023
    PROFILE SUBMITTED

    Sonara was submitted by Ellen Interlandi, Stakeholder Relations at Children's Surgical Centre.

  • January 3, 2023
    TREATMENT SCHEDULED

    Sonara was scheduled to receive 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, 2023
    PROFILE PUBLISHED

    Sonara's profile was published to start raising funds.

  • TODAY
    AWAITING FUNDING

    Sonara is currently raising funds for his treatment.

  • TBD
    AWAITING UPDATE

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

Funded by

There are no donors yet. Be the first
to donate!

Funded by

There are no donors yet. Be the first
to donate!

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $673 for Sonara's treatment
Hospital Fees
$126
Medical Staff
$496
Medication
$0
Supplies
$43
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.

Mark

Mark is a 2-year-old boy, His mother works as a teacher, while the father owns a small business of selling thrift shoes around town. However, ever since the lock down period during the COVID-19 pandemic, their business has been slow, thus, reducing their household income. The past year has been the most difficult for them, and they are unable to raise funds to seek medical treatment for their son. Last year, while playing with his friends, Mark accidentally pulled on a flask of hot water resulting in the water spilling and burning most parts of his arms and stomach. Following the accident, his mother applied honey and a raw egg on the wound as first aid and then rushed him to the hospital. Mark was given ointments to help the wound heal, but his mother was led to believe that applying mashed cassava mixed with honey would help Mark’s wound heal faster and better compared to the medicine he was given at the hospital. Two months after the incident, Mark no longer had an open wound, but the skin around the fingers of his right hand was badly damaged. Burn scar contractures have developed, tightening the skin around the burn. Now it is difficult for him to use his right hand. Fortunately, our medical partner, African Mission Healthcare Foundation, is helping Mark receive treatment. On March 3rd, surgeons at their care center will perform a burn contracture release surgery to increase the functionality of his fingers. Now, he needs help to fund this $874 procedure. Mark’s mother says, “Sometimes I wonder if not following the doctor’s advice is the reason my son’s hand is the way it is, and I’m the one responsible for that.”

0% funded

0%funded
$0raised
$874to go
Clerize

Meet Clerize: a beautiful and bright 4-year-old. She is the 1st born in a family of two and her family hails from a small village in rural Kenya. We met her at our Nyandarua medical camp outreach accompanied by her grandmother. Clerize's grandmother is a farmer while her father, who is separated with his wife, works as a boda boda (motorcycle taxi) driver. Clerize was born healthy however at the age of three, her grandmother noticed an unusual walking style. She stared tiptoeing and would fall every time she tried to walk. For lack of information and because of the distance, they didn’t take her to the hospital. Later their family heard about CURE hospital medical camp in Nyandarua and brought her to be seen by the doctors. The medical team diagnosed Clerize with clubfoot. Clubfoot is a condition in which the foot is twisted out of shape. This causes difficulty walking and even wearing shoes. Fortunately, Clerize's family has now traveled to visit our medical partner's care center, AIC Cure International Hospital. There, surgeons will perform clubfoot repair surgery on February 26th. Our medical partner, African Mission Healthcare Foundation, is requesting $1,286 to fund Clerize's clubfoot repair. After treatment, she will be able to walk more easily and is looking forward to attending school. “I am pleading for help to help my granddaughter undergo surgery so that she can resume with her normal life and walking,” Clerize's grandmother told us.

44% funded

44%funded
$577raised
$709to go

Meet another patient you can support

100% of your donation funds life-changing surgery.