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36/10 in the control group ( 0.05). On day 7, study group showed median pain score 0.9/10 and control group showed 2.63/10 ( 0.05). The mean healing time was 23.8 and 57.9 days in the ciNPT group and gauze group, respectively ( 0.05). These outcomes supported the incorporation of closed incision negative pressure therapy into our surgical treatment protocol for pilonidal cysts. These outcomes supported the incorporation of closed incision negative pressure therapy into our surgical treatment protocol for pilonidal cysts. T