Trans-intersphincteric double seton (TRISDS) significantly improves outcomes for patients with perianal abscesses.

• TRISDS achieved a cure rate of 78.2% (43/55), compared to just 41.2% (21/51) with incision and drainage (I&D).
• This technique preserves anal sphincter integrity, reducing risk of complications like fistula formation.

Consider adopting TRISDS to improve surgical success and patient quality of life.