经阴道植入网片手术并发症的理解与认识

经阴道植入网片（transvaginal mesh，TVM）手术是广泛应用于盆腔器官脱垂（pelvic organ prolapse，POP）治疗的手术术式。理解与认识TVM手术并发症，从而有效预防并发症的发生是提高手术安全性、减少不良预后的关键。降低TVM手术并发症的发生率，既要求术者要对盆底疾病有正确的理解与认识及准确的诊断，做好术前准确的评估，又要求术者具有完善的手术操作技能，以及丰富的盆底手术分离、穿刺等技术的临床经验。同时围手术期的护理和术后维护，也是预防术后并发症的发生应当注意的问题。

Understanding and recognition of complications of transvaginal mesh surgery.

Transvaginal mesh（TVM）is a surgical procedure widely used in the treatment of pelvic organ prolapse（POP）.In order to effectively prevent the occurrence of complications，it is important to understand and recognize the complications of TVM surgery，which is good for improving the safety of surgery and reducing the negative prognosis.Reducing the incidence of TVM surgical complications requires that the surgeons not only have a correct understanding of pelvic floor disease and accurate diagnosis for getting an accurate assessment before operation，but also have perfect surgical operation skills and rich clinical experience of pelvic floor surgery such as separation and puncture and other techniques.At the same time，perioperative care and postoperative maintenance are also issues that should be paid attention to in order to prevent postoperative complications.