The University of Rochester Medical Center is pleased to announce Fergal J. Fleming,
MB BCh BAO, MD, FRCS has been appointed an Assistant Professor of Surgery and Oncology. He has been a Fellow in the URMC Division of Colorectal Surgery since 2009.
Dr. Fleming was awarded his medical degree from the University College of Dublin, Ireland
in 1998. He is also a Fellow of the Royal College of Surgeons in Ireland. Dr. Fleming's surgical
residency included extensive training in general, vascular and hepatobiliary surgery, as well
as dedicated training in colorectal surgery. He was successfully awarded the Intercollegiate
Specialist Examination (UK and Ireland) in general surgery with a sub-specialty interest in
colorectal surgery in 2009. In addition to being licensed to practice medicine in the state of New York, Dr. Fleming is on the Specialist Register of the Irish Medical Council in recognition of his specialist training in the field of surgery.
Throughout his clinical training, Dr. Fleming's academic career flourished with numerous peer-reviewed publications in international journals, as well as distinguished prizes and awards, including a Surgical Research Fellowship in 2002 and the Irish Journal of Medical Science Doctor Award, Surgical Section in 2004. He was also awarded a diploma in Cancer Chemoprevention from the National Cancer Institute, Bethesda, Maryland in 2007.
Dr. Fleming is a member of many professional organizations including the American Society of Colon and Rectal Surgeons, the Society of Surgical Oncology, the Association of Laparoscopic Surgeons of Great Britain and Ireland and the Royal Academy of Medicine in Ireland. He looks forward to providing URMC patients with the highest international standards of surgical care, including advances in minimally invasive surgery, at both Highland Hospital and Strong Memorial Hospital.

• Iannuzzi JC, Rickles AS, Deeb AP, Sharma A, Fleming FJ, Monson JR. Outcomes associated with resident involvement in partial colectomy. Dis Colon Rectum. 2013 Feb; 56(2):212-8.
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• Rickles AS, Iannuzzi JC, Mironov O, Deeb AP, Sharma A, Fleming FJ, Monson JR. Visceral Obesity and Colorectal Cancer: Are We Missing the Boat with BMI? J Gastrointest Surg. 2013 Jan; 17(1):133-43.
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• Deeb AP, Kim MJ, Fleming FJ, Messing S, Gunzler D, Monson JR, Salloum RM. The Impact of Operative Approach in Elective Splenectomy: A Multivariate Analysis of Outcomes From the NSQIP Database. Surg Laparosc Endosc Percutan Tech. 2012 Oct; 22(5):415-9.
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• Iannuzzi JC, Deeb AP, Rickles AS, Sharma A, Fleming FJ, Monson JR. Recognizing risk: bowel resection in the chronic renal failure population. J Gastrointest Surg. 2013 Jan; 17(1):188-94.
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• O'Malley NT, Fleming FJ, Gunzler DD, Messing SP, Kates SL. Factors independently associated with complications and length of stay after hip arthroplasty: analysis of the national surgical quality improvement program. J Arthroplasty. 2012 Dec; 27(10):1832-7.
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• Niebisch S, Fleming FJ, Galey KM, Wilshire CL, Jones CE, Litle VR, Watson TJ, Peters JH. Perioperative risk of laparoscopic fundoplication: safer than previously reported-analysis of the american college of surgeons national surgical quality improvement program 2005 to 2009. J Am Coll Surg. 2012 Jul; 215(1):61-8.
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• Lee Y, Fleming FJ, Deeb AP, Gunzler D, Messing S, Monson JR. A laparoscopic approach reduces short-term complications and length of stay following ileocolic resection in Crohn's disease: an analysis of outcomes from the NSQIP database. Colorectal Dis. 2012 May; 14(5):572-7.
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• Fleming FJ, Kim MJ, Gunzler D, Messing S, Monson JR, Speranza JR. It's the procedure not the patient: the operative approach is independently associated with an increased risk of complications after rectal prolapse repair. Colorectal Dis. 2012 Mar; 14(3):362-8.
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• McCartan DP, Fleming FJ, Hill AD. Patient and surgeon factors are associated with the use of laparoscopy in appendicitis. Colorectal Dis. 2012 Feb; 14(2):243-9.
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• Fleming FJ. Operative approach and venous thromboembolism in colorectal surgery: casual or causal association? Dis Colon Rectum. 2011 Dec; 54(12):1463-4.
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• Fleming FJ, Påhlman L, Monson JR. Neoadjuvant therapy in rectal cancer. Dis Colon Rectum. 2011 Jul; 54(7):901-12.
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• O'Duffy F, Toomey DP, Fleming F, McNamara DA. Novel use of an air-filled breast prosthesis to allow radiotherapy to recurrent colonic cancer. Colorectal Dis. 2011 Mar; 13(3):e42-5.
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• Kim MJ, Fleming FJ, Gunzler DD, Messing S, Salloum RM, Monson JR. Laparoscopic appendectomy is safe and efficacious for the elderly: an analysis using the National Surgical Quality Improvement Project database. Surg Endosc. 2011 Jun; 25(6):1802-7.
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• Fleming FJ, Francone TD, Kim MJ, Gunzler D, Messing S, Monson JR. A laparoscopic approach does reduce short-term complications in patients undergoing ileal pouch-anal anastomosis. Dis Colon Rectum. 2011 Feb; 54(2):176-82.
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• Glance LG, Dick AW, Mukamel DB, Fleming FJ, Zollo RA, Wissler R, Salloum R, Meredith UW, Osler TM. Association between intraoperative blood transfusion and mortality and morbidity in patients undergoing noncardiac surgery. Anesthesiology. 2011 Feb; 114(2):283-92.
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• Fleming FJ, Kim MJ, Messing S, Gunzler D, Salloum R, Monson JR. Balancing the risk of postoperative surgical infections: a multivariate analysis of factors associated with laparoscopic appendectomy from the NSQIP database. Ann Surg. 2010 Dec; 252(6):895-900.
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• Kim MJ, Fleming FJ, Peters JH, Salloum RM, Monson JR, Eghbali ME. Improvement in educational effectiveness of morbidity and mortality conferences with structured presentation and analysis of complications. J Surg Educ. 2010 Nov-Dec; 67(6):400-5.
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• Fleming FJ, Kim MJ, Salloum RM, Young KC, Monson JR. How much do we need to worry about venous thromboembolism after hospital discharge? A study of colorectal surgery patients using the National Surgical Quality Improvement Program database. Dis Colon Rectum. 2010 Oct; 53(10):1355-60.
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• Glance LG, Wissler R, Mukamel DB, Li Y, Diachun CA, Salloum R, Fleming FJ, Dick AW. Perioperative outcomes among patients with the modified metabolic syndrome who are undergoing noncardiac surgery. Anesthesiology. 2010 Oct; 113(4):859-72.
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• Fleming FJ, Monson JR. Accurate staging, selective preoperative therapy and optimal surgery can deliver a good oncological and functional outcome in low rectal cancer. Dig Surg. 2010 Aug; 27(3):182-4.
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• McCartan DP, Fleming FJ, Grace PA. The management of right iliac fossa pain - is timing everything? Surgeon. 2010 Aug; 8(4):211-7.
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• Fleming FJ, Gillen P. Reversal of Hartmann's procedure following acute diverticulitis: is timing everything? Int J Colorectal Dis. 2009 Oct; 24(10):1219-25.
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• Fleming F, Khursigara N, O'Connell N, Darby S, Waldron D. Fulminant small bowel enteritis: a rare complication of Clostridium difficile-associated disease. Inflamm Bowel Dis. 2009 Jun; 15(6):801-2.
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• Fleming F, Sheahan K, Winter D. Concomitant ulcerative colitis and rectal cancer in a patient with Gorlin syndrome. Inflamm Bowel Dis. 2009 Apr; 15(4):488-9.
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• Fleming F, Winter D. Images in surgery. Richter's hernia at a 5-mm laparoscopic port site. Surgery. 2009 Sep; 146(3):523.
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• Alsinnawi M, Fleming FJ, Kenny BJ, Waldron D. Clinical images. Atypical midcycle pain. Am J Surg. 2009 Jan; 197(1):e1-2.
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• Abdulkarim A, Fleming FJ, Kavanagh EG, Burke PE, Grace PA. Vascular trauma in an Irish regional hospital. Surgeon. 2008 Jun; 6(3):157-61.
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• McCartan DP, Fleming FJ, Motherway C, Grace PA. Management and outcome in patients following head injury admitted to an Irish Regional Hospital. Brain Inj. 2008 Apr; 22(4):305-12.
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• Ng S, Fleming FJ, Drumm J, Waldron D, Grace PA. Current trends in the management of acute appendicitis. Ir J Med Sci. 2008 Jun; 177(2):121-5.
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• Fleming F, Grace P. Irritable bowel syndrome and negative appendectomy. Gut. 2007 Oct; 56(10):1479.
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• Fleming FJ, Hayanga AJ, Glynn F, Thakore H, Kay E, Gillen P. Incidence and prognostic influence of lymph node micrometastases in rectal cancer. Eur J Surg Oncol. 2007 Oct; 33(8):998-1002.
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• Mc Ilroy M, Fleming FJ, Buggy Y, Hill AD, Young LS. Tamoxifen-induced ER-alpha-SRC-3 interaction in HER2 positive human breast cancer; a possible mechanism for ER isoform specific recurrence. Endocr Relat Cancer. 2006 Dec; 13(4):1135-45.
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• Dillon MF, Hill AD, Fleming FJ, O'Doherty A, Quinn CM, McDermott EW, O'Higgins N. Identifying patients at risk of compromised margins following breast conservation for lobular carcinoma. Am J Surg. 2006 Feb; 191(2):201-5.
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• Healy DG, Fleming FJ, Gilhooley D, Felle P, Wood AE, Gorey T, McDermott EW, Fitzpatrick JM, O'Higgins NJ, Hill AD. Electronic learning can facilitate student performance in undergraduate surgical education: a prospective observational study. BMC Med Educ. 2005; 5:23.
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• Kavanagh D, Connolly S, Fleming F, Hill AD, McDermott EW, O'Higgens NJ. Meralgia paraesthetica following open appendicectomy. Ir Med J. 2005 Jun; 98(6):183-5.
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• Myers E, Fleming FJ, Crotty TB, Kelly G, McDermott EW, O'higgins NJ, Hill AD, Young LS. Inverse relationship between ER-beta and SRC-1 predicts outcome in endocrine-resistant breast cancer. Br J Cancer. 2004 Nov 1; 91(9):1687-93.
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• Fleming FJ, Myers E, Kelly G, Crotty TB, McDermott EW, O'Higgins NJ, Hill AD, Young LS. Expression of SRC-1, AIB1, and PEA3 in HER2 mediated endocrine resistant breast cancer; a predictive role for SRC-1. J Clin Pathol. 2004 Oct; 57(10):1069-74.
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• Fleming FJ, Hill AD, Mc Dermott EW, O'Doherty A, O'Higgins NJ, Quinn CM. Intraoperative margin assessment and re-excision rate in breast conserving surgery. Eur J Surg Oncol. 2004 Apr; 30(3):233-7.
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• Dillon MF, Hill AD, Quinn CM, O'Doherty A, Crown J, Fleming FJ, McDermott EW, O'Higgins N. Surgical intervention in screen-detected patients versus symptomatic patients with breast cancer. J Med Screen. 2004; 11(3):130-4.
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• Fleming FJ, Kavanagh D, Crotty TB, Quinn CM, McDermott EW, O'Higgins N, Hill AD. Factors affecting metastases to non-sentinel lymph nodes in breast cancer. J Clin Pathol. 2004 Jan; 57(1):73-6.
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• Fleming FJ, Hill AD, McDermott EW, O'Higgins NJ, Young LS. Differential recruitment of coregulator proteins steroid receptor coactivator-1 and silencing mediator for retinoid and thyroid receptors to the estrogen receptor-estrogen response element by beta-estradiol and 4-hydroxytamoxifen in human breast cancer. J Clin Endocrinol Metab. 2004 Jan; 89(1):375-83.
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• Fleming FJ, Flavin R, Poynton AR, Glynn T. Elbow dislocation with ipsilateral open radial and ulnar diaphyseal fractures--a rare combination. Injury. 2004 Jan; 35(1):90-2.
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• Fleming FJ, Hill AD, Kavanagh D, Quinn C, O'Doherty A, Collins CD, McDermott EW, O'Higgins NJ. Intradermal radioisotope injection optimises sentinel lymph node identification in breast cancer. Eur J Surg Oncol. 2003 Dec; 29(10):835-8.
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• Abbasi M, Mahmood S, Fleming F, Carroll K, Wilson I. Diagnostic dilemma--solved by appendicectomy. Ir Med J. 2002 Jun; 95(6):186-7.
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• Fleming F, Ishtiaq A, O'Connor J. Patent omphalomesenteric duct presenting as an umbilical discharge. Ir Med J. 2001 Jun; 94(6):182.
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• Fleming F, Bohn D, Edwards H, Cox P, Geary D, McCrindle BW, Williams WG. Renal replacement therapy after repair of congenital heart disease in children. A comparison of hemofiltration and peritoneal dialysis. J Thorac Cardiovasc Surg. 1995 Feb; 109(2):322-31.
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