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Leng is a mom of four from Cambodia who needs $606 to fund removal of cancerous cells on her nose.

Leng
42%
  • $255 raised, $351 to go
$255
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$351
to go
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December 22, 2019

Leng is a 33-year-old mother of four from Cambodia. She has two sons and two daughters, and enjoys cooking for her family and watching television in her free time.

Five years ago, Leng started to develop a cancerous-like bump on her nose, and has been diagnosed with basal cell carcinoma. She experiences pain near the bump, along with discharge and bleeding.

Leng learned about our medical partner, Children’s Surgical Centre, and on December 23rd, surgeons at CSC will perform an excision and bilobed flap procedure to remove the cancerous tissue and help her feel comfortable again. Now, she needs help to fund this $606 procedure.

“I hope that my wife’s operation will go well and remove the cancer from her nose so that I won’t have to worry about her condition anymore.”-Leng’s Husband

Leng is a 33-year-old mother of four from Cambodia. She has two sons and two daughters, and enjoys cooking for her family and watching telev...

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Leng's Timeline

  • December 22, 2019
    PROFILE SUBMITTED

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

  • December 23, 2019
    TREATMENT OCCURRED

    Leng 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 23, 2019
    PROFILE PUBLISHED

    Leng's profile was published to start raising funds.

  • December 27, 2019
    AWAITING UPDATE

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

  • TODAY
    AWAITING FUNDING

    Leng is currently raising funds for her treatment.

Funded by 13 donors

Funded by 13 donors

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

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Poe

Poe is a five-year old boy who lives with his family in Shwe Koke Ko village of Karen State in Burma. In his free time, Poe likes to play with his friends and toys. He also likes to eat sweets. Poe does not go to school because of his condition. Poe's mother and father are divorced, and both are remarried. His father lives and works in Bangkok, Thailand and he contributes to Poe’s financial wellbeing by giving the household 5000 baht (approx. $167 USD) per month. His mother does not provide the family with any extra income. Poe stays with his grandmother and great grandmother from his father's side. His grandmother works as a cleaner. The rest of the family does not currently have work. When Poe was eight months old, he got a severe fever and his family took him to the Wang Pha clinic near Mae Sot, Thailand, which is the same place where he was born. He was admitted at the clinic for three days, but his condition did not improve. Doctors at the clinic told his family to take him to Mae Sot Hospital (MSH) for further investigation. The family immediately took him to MSH and he was admitted for one week. At MSH, he received a blood test and was diagnosed with Thalassemia, a blood disorder. He received a blood transfusion and after the transfusion, Poe felt better, but only temporarily. His family went back for three follow-up appointments to MSH, where he had blood transfusions each time. When he was one year and five months old, the family could not afford going to MSH any longer, so they took Poe to Myawaddy Hospital. He received another blood transfusion and an IV line. He was admitted for three days at the hospital. Although he felt better after getting discharged in Myawaddy, since his condition is chronic, he needs regular blood transfusions to stay healthy. It became increasingly difficult for the family to pay for Poe’s care, however, they decided to come to Mae Tao Clinic (MTC) for further help in 2016. Since then, he has received many blood transfusions at MTC, sometimes monthly and sometimes bi-monthly. With these treatments, he is able to survive. However, his condition also affects his spleen, the organ that filters blood. To prevent further problems, medics at MTC told his family that doctors need to remove Poe's spleen. Since it cannot be done at MTC, he needs to go back to MSH to undergo the operation. Currently, Poe has frequent bloody noses, coughs up blood, and has blood in his stool. He feels better after having a transfusion, but it wears off in the weeks following the procedure. When its nearing time for another transfusion, he feels weak and tired. When asked what he wants to do when he grows up, Poe was adamant that he wanted to be a medic. “I want to help people,” he said. “When he sees people that are sick, he always tells me he feels sorry for them,” added his great grandmother.

87% funded

87%funded
$1,311raised
$189to go

Meet another patient you can support

100% of your donation funds life-changing surgery.