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Effectiveness of papain gel in venous ulcer treatment: randomized clinical trial1 1 Paper extracted from master's thesis "Papain gel effectiveness in the treatment of venous leg ulcers: a clinical trial", presented to Escola de Enfermagem, Universidade Federal Fluminense, Niterói, RJ, Brazil

OBJECTIVE:

to assess the effectiveness of 2% papain gel compared to 2% carboxymethyl cellulose in the treatment of chronic venous ulcer patients.

METHOD:

randomized controlled clinical trial with 12-week follow-up. The sample consisted of 18 volunteers and 28 venous ulcers. In the trial group, 2% papain gel was used and, in the control group, 2% carboxymethyl cellulose gel.

RESULTS:

the trial group showed a significant reduction in the lesion area, especially between the fifth and twelfth week of treatment, with two healed ulcers and a considerable increase in the amount of epithelial tissue in the wound bed.

CONCLUSION:

2% papain gel demonstrated greater effectiveness in the reduction of the lesion area, but was similar to 2% carboxymethyl cellulose gel regarding the reduction in the amount of exudate and devitalized tissue. Multicenter research is suggested to evidence the effectiveness of 2% papain gel in the healing of venous ulcers. UTN number: U1111-1157-2998

Leg Ulcer; Papain; Carboxymethylcellulose Sodium; Wound Healing; Clinical Trial; Nursing


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