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Success! Leang Him from Cambodia raised $450 to fund burn repair surgery.

Leang Him
100%
  • $450 raised, $0 to go
$450
raised
$0
to go
Fully funded
Leang Him's treatment was fully funded on August 31, 2017.

Photo of Leang Him post-operation

July 10, 2017

Leang Him underwent burn repair surgery.

Leang Him’s treatment went well. Following the procedure, she was given antibiotics and she had one week of physiotherapy at CSC before being discharged. Her wounds have healed nicely and she does not experience any pain.

Leang Him says, “I’m happy because I feel better now. Thanks to all of the doctors for helping me.”

Leang Him's treatment went well. Following the procedure, she was given antibiotics and she had one week of physiotherapy at CSC before bein...

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March 28, 2017

Leang Him is a 36-year-old construction worker from Cambodia. She is married and has six children—three sons and three daughters. She likes to cook and spend time with her children.

At the end of December, Leang Him was badly burned by an electrical fire, severely damaging her right shoulder, right arm, and both feet. She first came to our medical partner, Children’s Surgical Centre, in February after being referred from another hospital. At that time, surgeons were able to successfully remove the damaged and infected tissue from her right forearm and left foot. At the beginning of March, Leang Him returned to receive a nerve graft and ankle stabilization procedure. These procedures were funded by Watsi donors.

Leang Him is scheduled to undergo another surgery on March 29. Our medical partner is requesting $450 to cover the cost of the operation, which will allow her wrists to be resurfaced and heal. After surgery, Leang Him will be able to use her hands more effectively.

Leang Him is a 36-year-old construction worker from Cambodia. She is married and has six children—three sons and three daughters. She likes ...

Read more

Leang Him's Timeline

  • March 28, 2017
    PROFILE SUBMITTED

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

  • March 29, 2017
    TREATMENT OCCURRED

    Leang Him 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.

  • April 10, 2017
    PROFILE PUBLISHED

    Leang Him's profile was published to start raising funds.

  • July 10, 2017
    TREATMENT UPDATE

    Leang Him's treatment was successful. Read the update.

  • August 31, 2017
    FULLY FUNDED

    Leang Him's treatment was fully funded.

Funded by 4 donors

Funded by 4 donors

Treatment
Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $450 for Leang Him'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.

Marivel

Marivel is a hardworking and loving daughter from the Philippines. She is a 2nd-year college student. While studying, she tried to look for jobs to support her family. Unfortunately, to date she has been unable to pass the medical (health) requirements. The only breadwinner in the family is her father who works as a pedicab driver. Her father's income is often not enough to bring food to the table. In 2018, Marivel began to experience troubling symptoms, including a mass on her neck that is growing in size, and episodes of difficulty breathing. Due to the inadequate family resources, she did not seek treatment. By the time she finally had a chance to be checked by a doctor, her condition had worsened. She was diagnosed with Nodular Non-Toxic Goiter, a thyroid gland enlargement with no disturbance in the thyroid function. She needs surgery to prevent her symptoms from getting worse. Fortunately, our medical partner, World Surgical Foundation Philippines (WSFP), is helping Marivel receive treatment. She is scheduled to undergo a thyroidectomy on December 10th at Our Lady of Peace Hospital. Surgeons will remove all or part of her thyroid gland. A portion of the cost of her treatment is being supported by the Philippine Health Insurance Corporation, and WSFP is raising the remaining $890 to cover the cost of Marivel's procedure and care. Marivel shared, "I'd like to thank Watsi and World Surgical Foundation Philippines. You're not just giving me surgery, but also a chance to support my family. After my treatment, I'd be able to find a decent job and provide for our needs."

48% funded

48%funded
$429raised
$461to go

Meet another patient you can support

100% of your donation funds life-changing surgery.