Application Of Moist Wound Healing In An Infected Wound Following Perforated Appendectomy: A Nursing Case Study
DOI:
https://doi.org/10.58435/jka.v5i2.229Keywords:
Perforated Appendectomy, Infected Wound, Moist Wound HealingAbstract
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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Copyright (c) 2026 Liza Phonna, Suriani, Alhuda, Dedy Ahmady
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