Meet another patient

Watsi logo blueWatsi

Success! Somanith from Cambodia raised $657 to fund mass excision surgery.

  • $657 raised, $0 to go
to go
Fully funded
Somanith's treatment was fully funded on January 27, 2022.

Photo of Somanith post-operation

February 7, 2022

Somanith underwent mass excision surgery.

Specialty surgeons are not available in Somanith’s province, and she was fortunate to travel to our medical partner Children’s Surgical Centre for her complex surgery. Surgery was successful and although her face is still swollen from the surgery, the mass is gone. Somanith is hopeful she won’t have to hide the way she looks anymore.

Somanith said: “Thank you to everyone who supported me. I am so relieved the surgeons were able to remove the mass. I was ashamed and feared my face would be like this forever. Now I can finish my schooling.”

Specialty surgeons are not available in Somanith's province, and she was fortunate to travel to our medical partner Children's Surgical Cent...

Read more
December 7, 2021

Somanith is a 17-year-old university student. She is the oldest child in her family and has two siblings: an 8-year-old brother in 2nd grade and a 12-year-old sister in 4th grade. Somanith is in her first year at university, where she is studying accounting. Her father works for the government, and her mother stays at home to care for her siblings. Somanith likes to read books, exercise, and meet up with friends in her free time.

Six months ago, Somanith noticed swelling on the left side of her face and thought it was from her wisdom tooth. She received a biopsy at the government hospital, which revealed she has a mass called ameloblastoma. Somanith is experiencing swelling and pain and is concerned with how quickly the mass has grown. Specialty surgeons will need to perform an excision and histology to determine her future treatment.

When Somanith learned about our medical partner, Children’s Surgical Centre (CSC), she traveled across the country for eight hours seeking treatment. On December 7th, surgeons at CSC will perform an excision to remove the mass and help Somanith feel comfortable again. CSC is requesting $657 to fund her procedure.

Somanith shared that she is hopeful the tumor will be easily removed and the biopsy will be benign.

Somanith is a 17-year-old university student. She is the oldest child in her family and has two siblings: an 8-year-old brother in 2nd grade...

Read more

Somanith's Timeline

  • December 7, 2021

    Somanith was submitted by Sieng Heng at Children's Surgical Centre.

  • December 7, 2021

    Somanith 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.

  • December 13, 2021

    Somanith's profile was published to start raising funds.

  • January 27, 2022

    Somanith's treatment was fully funded.

  • February 7, 2022

    Somanith's treatment was successful. Read the update.

Funded by 15 donors

Funded by 15 donors

Excision and Flap Surgery
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $657 for Somanith's treatment
Hospital Fees
Medical Staff
  • 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.