Jurnal Kesehatan Akimal
Vol 5 No 2 (2026): EDISI OKTOBER 2026

Application Of Moist Wound Healing In An Infected Wound Following Perforated Appendectomy: A Nursing Case Study

Liza Phonna (Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe)
Suriani (Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe)
Alhuda (Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe)
Dedy Ahmady (Akademi Keperawatan Kesdam Iskandar Muda Lhokseumawe)



Article Info

Publish Date
31 Oct 2026

Abstract

Background: Perforated appendicitis is an emergency condition that requires immediate surgical intervention and carries a high risk of complications, particularly surgical site infection. Inadequately managed wound infections may progress to serious complications, such as sepsis, increasing patient morbidity and mortality. Therefore, effective and evidence-based wound management is essential to accelerate healing and prevent further complications. Objective: This study aimed to describe the management of an infected postoperative wound following perforated appendectomy using a moist wound healing approach. Method: A case study was conducted involving one patient with an infected postoperative wound measuring 20 cm in length, 5 cm in width, and 6 cm in depth, accompanied by purulent exudation and an unpleasant odor. The intervention included opening the sutures to facilitate exudation drainage, debridement to remove necrotic tissue, and subsequent wound care using the moist wound healing approach with modern dressings tailored to the wound condition. Wound progress was evaluated regularly over 12 weeks by monitoring wound size, exudation volume, and signs of infection. Results: After four weeks of treatment, healthy granulation tissue had developed, accompanied by reduced exudation and resolution of the wound odor. By week 12, the wound had achieved complete epithelialization without signs of ongoing infection. Conclusion: The combination of debridement and moist wound healing was effective in managing an infected wound following perforated appendectomy, promoting wound healing and potentially reducing the risk of serious complications, such as sepsis.

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Journal Info

Abbrev

jka

Publisher

Subject

Education Health Professions Medicine & Pharmacology Nursing Public Health

Description

Jurnal Kesehatan Akimal is a scientific journal which Published by Nursing Academic of Kesdam Iskandar Muda Lhokseumawe. The editors welcome scientific articles relevant to National and International medical nursing and health issues. This journal accepts submissions from all countries and ...