Brain Surgery

Itay Melamed, MD -  - Neurosurgeon

Advanced Brain & Spine

Itay Melamed, MD

Neurosurgeon located in Centennial, CO & Wheat Ridge, CO

Brain Surgery Specialist
Board-certified neurosurgeon Dr. Itay Melamed is experienced in all aspects of brain surgery, from treating dangerous aneurysms to addressing damage caused by trauma or a tumor. With two convenient practice locations in Centennial and Wheat Ridge, Colorado, Dr. Melamed of Advanced Brain & Spine uses the most advanced medical technology available, including specialized surgical instrumentation, microscopic techniques, and, whenever possible, minimally invasive surgery techniques. If you’re in the Denver area and you’d like to learn more, call or book your appointment online today.

Brain Surgery Q&A

by Itay Melamed, MD

What brain problems require surgery?

Brain surgery is an advanced medical procedure that’s used to treat a wide range of problems in the brain and its surrounding structures. Brain surgery may be the best option for addressing an aneurysm, stopping a brain bleed, or removing a blood clot. Other common reasons for brain surgery include:

  • Tumor removal
  • Abnormal tissue removal
  • Abnormal blood vessel repair
  • Tissue repair following trauma
  • Abscess drainage
  • Pressure relief following a stroke

What is endoscopic brain surgery?

Whenever possible, Dr. Melamed performs brain surgery using minimally invasive endoscopic techniques. Endoscopic brain surgery can be done with a smaller incision because it uses an endoscope, or a small, telescope-like device equipped with a high-resolution video camera that allows Dr. Melamed to access and easily navigate the treatment area.  

Prior to the development of the endoscope, brain surgeons primarily relied on microscope technology. But the microscope is limited, in that it only highlights the area in its direct line of sight, and is unable to reveal what’s behind or alongside that area.

The endoscope doesn’t have such limitations. It allows Dr. Melamed to visualize critical structures better, and to work around corners and in places previously thought to be inaccessible.

What are the benefits of endoscopic brain surgery?

The main goal of minimally invasive endoscopic brain surgery is to provide the most benefit with the least amount of intrusion, making your surgery less risky and painful, and your hospital stay and recovery shorter.

Endoscopic brain surgery techniques allow Dr. Melamed to approach certain brain tumors in a way that minimizes or completely avoids any damage to the surrounding tissues. Endoscopic techniques also make it easier to treat the tumor itself.

Dr. Melamed can clip aneurysms more safely and effectively using minimally invasive surgical techniques, partly because the endoscope can help him see the back side of the aneurysm.

Before the advent of endoscopic brain surgery, patients were more likely to suffer a stroke if the clip happened to block any small, unseen vessels coming out of the back side of an aneurysm. The endoscope helps prevent this dangerous complication.

Endoscopic techniques also enable Dr. Melamed to better see the facial nerve behind an acoustic neuroma or vestibular schwannoma tumor. This allows him to treat these tumors more safely and effectively, and through a smaller incision.

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