Quiz

#1. In the Danish healthcare system MWL-surgery is offered to patients with a current BMI of:

Less than 20 kg/m2

Less than 22 kg/m2

Less than 25 kg/m2

Less than 30 kg/m2

Less than 35 kg/m2

#2. Which of the following is irrelevant about the patient’s weight history?

Decrease in BMI points

Cause of weight loss

Minimum weight and BMI

Maximum weight and BMI

Current weight and BMI

#3. What is not an indication to MWL-surgery?

Age maximum 50 years

6 months of weight stability after MWL

ASA 1 or 2

Impaired daily activity

No smoking 6 weeks prior to surgery

#4. How many lost BMI-units are required to qualify for MWL-surgery?

10 BMI-units

15 BMI-units

20 BMI-units

25 BMI-units

The number of BMI-units lost is not considered

#5. What does not characterize the skin quality of MWL patients?

Striae

Impaired elastin fibers

Laxity of the skin

Risk of reduced wound healing

Improved blood supply

#6. In gastric bypass patients, what is false when booking surgery?

Type of bariatric surgery might affect the MWL procedure

Preoperative blood tests must be normal

Previous bariatric surgery should have been performed at least 18 months ago

Long-term future pregnancy is an absolute contraindication

Poor absorption of vitamins may be seen

#7. Brachioplasty is offered to patients who have excess skin corresponding to at least:

20% of the total diameter of the upper arm

70% of the muscular part of the upper arm

50% of the total diameter of the upper arm

100% of the total diameter of the upper arm

50% of the muscular part of the upper arm

#8. Which of the following options is correct about brachioplasty?

The patient should wait at least two weeks before resuming physical activity

Extended brachioplasty is normally offered when excess skin makes up at least 50% of the muscular part of the upper arm

Closure is normally performed in three layers

Smoking is not a contraindication

The surgeon must pay special attention to the nerves MBCN and MABCN during surgery

#9. What is correct about the abdominoplasty procedure?

The umbilicus should be in line with anterior superior iliac spine

The desired level to reach is the superficial Camper's fascia

Preoperative scaring is not taken into consideration before surgery

Address hanging of the mons by suturing it to the superficial Camper’s fascia

Excise the umbilicus firstly to avoid lesions in the umbilical blood supply

#10. What is false about 360-degrees belt lipectomy?

The preoperative markings are typically different in men and women

MWL characterized as second degree skin laxity normally indicates this procedure

Be aware of the location of the iliohypogastric and ilioinguinal nerve to preserve sensation to the groin and medioventral part of the thigh

The procedure is characterized as a circumferential procedure

Different techniques can be performed on the abdomen, one being the Fleur-de-lis abdominoplasty

Massive Weight Loss Surgery

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