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Success! Sokha from Cambodia raised $450 to fund wound care.

Sokha
100%
  • $450 raised, $0 to go
$450
raised
$0
to go
Fully funded
Sokha's treatment was fully funded on December 31, 2016.

Photo of Sokha post-operation

January 27, 2017

Sokha received successful wound care.

His wound is healed, and he experiences no pain. Sokha is now able to hold objects better with his right hand.

Sokha’s wife says, “Thanks to all of the donors and staff for the help.”

His wound is healed, and he experiences no pain. Sokha is now able to hold objects better with his right hand. Sokha's wife says, "Thanks...

Read more
November 24, 2016

Sokha is a 36-year-old sugarcane juice seller with three sons and one daughter. He likes to listen to music and news on the radio and to chat with his customers.

In November, Sokha’s right hand was caught in his sugarcane juicer. He sought treatment at a military hospital, where four of his fingers were amputated. Unfortunately, his doctors were unable to close his wounds. Sokha left the hospital in pain and unable to use his hand.

After learning about our medical partner, Children’s Surgical Centre (CSC), Sokha traveled for four hours to seek treatment. On November 25, CSC surgeons performed a debridement procedure to clean the wound and a skin graft to cover the wound. Sokha needs help to fund this $450 procedure.

“I hope to be able to use my hand again,” says Sokha. “When I am healed, I will go home and try to find another job.”

Sokha is a 36-year-old sugarcane juice seller with three sons and one daughter. He likes to listen to music and news on the radio and to cha...

Read more

Sokha's Timeline

  • November 24, 2016
    PROFILE SUBMITTED

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

  • November 25, 2016
    TREATMENT OCCURRED

    Sokha 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.

  • December 05, 2016
    PROFILE PUBLISHED

    Sokha's profile was published to start raising funds.

  • December 31, 2016
    FULLY FUNDED

    Sokha's treatment was fully funded.

  • January 27, 2017
    TREATMENT UPDATE

    Sokha'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 $450 for Sokha's treatment
Hospital Fees
$105
Medical Staff
$345
Medication
$0
Supplies
$0
  • 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.