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Massive Weight Loss Surgery


Authors: Anne Mosebo, MD, Mie Pilegaard Bjarnesen, Med. Stud., Julie Tastesen, MD and Magnus Balslev Avnstorp, MD

The general indications and contraindications when performing MWL-surgery will be addressed in this chapter:

Indications and contraindications

Procedure specific

A criterion for MWL surgery in the Danish healthcare system is MWL characterized as second (moderate) or third (severe) degree. Regarding abdominoplasty the classifications are as follows1

Second degree (moderate) Third degree (severe)

Low pannus with a skin overhang > 3 cm
Mons ptosis
Distinct skin issues: Moisture, maceration, wounds
Limitations in daily activities
Skin overhang crossing the midaxillary line in the back
Excess skin on the back
Choice of procedureSimple procedure Circumferential or combined procedure

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