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Fergal Fleming

TitleAssistant Professor
InstitutionSchool of Medicine and Dentistry
DepartmentSurgery
AddressUniversity of Rochester Medical Center
School of Medicine and Dentistry
601 Elmwood Ave, Box SURG
Rochester NY 14642
Other Positions
TitleAssistant Professor
InstitutionUniversity of Rochester Medical Center
DepartmentCancer Center

 
 Awards And Honors
2002     RCSI/SARS Surgical Research Fellowship  | Society of Academic and Research Surgery
2003     William O'Keeffe Memorial Prize  | Royal Academy of Medicine in Ireland
2004     JMS Doctor Awards  | Irish Journal of Medical Science
2004     27th Millin Lecturer, November 2004  | Royal College of Surgeons in Ireland
2007     Diploma in Cancer Chemoprevention  | National Cancer Institute
 
 Overview
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.

 
 Selected Publications
List All   |   Timeline
  1. McCartan D, Fleming FJ, Grace PA. Perforated appendicitis: does rural residency really explain the delay? Ann Surg. 2014 Apr; 259(4):e58.
    View in: PubMed
  2. Fleming FJ, Monson JR. The contemporary (over)treatment of rectal cancer: the goldilocks effect. Dis Colon Rectum. 2014 Mar; 57(3):403-6.
    View in: PubMed
  3. Iannuzzi JC, Chandra A, Kelly KN, Rickles AS, Monson JR, Fleming FJ. Risk score for unplanned vascular readmissions. J Vasc Surg. 2014 May; 59(5):1340-1347.e1.
    View in: PubMed
  4. Iannuzzi JC, Rickles AS, Kelly KN, Rusheen AE, Dolan JG, Noyes K, Monson JR, Fleming FJ. Perioperative pleiotropic statin effects in general surgery. Surgery. 2014 Mar; 155(3):398-407.
    View in: PubMed
  5. Iannuzzi JC, Rickles AS, Kelly KN, Fleming FJ, Dolan JG, Monson JR, Noyes K. Defining high risk: cost-effectiveness of extended-duration thromboprophylaxis following major oncologic abdominal surgery. J Gastrointest Surg. 2014 Jan; 18(1):60-8.
    View in: PubMed
  6. Rickles AS, Iannuzzi JC, Kelly KN, Cooney RN, Brown DA, Davidson M, Hellenthal N, Max C, Johnson J, Detraglia J, McGurrin M, Kimball R, Dibenedetto A, Galyon D, Esposito SL, Noyes K, Monson JR, Fleming FJ. Anastomotic leak or organ space surgical site infection: What are we missing in our quality improvement programs? Surgery. 2013 Oct; 154(4):680-9.
    View in: PubMed
  7. Kelly KN, Iannuzzi JC, Rickles AS, Monson JR, Fleming FJ. Risk factors associated with 30-day postoperative readmissions in major gastrointestinal resections. J Gastrointest Surg. 2014 Jan; 18(1):35-44.
    View in: PubMed
  8. Kelly KN, Iannuzzi JC, Rickles AS, Garimella V, Monson JR, Fleming FJ. Laparotomy for small-bowel obstruction: first choice or last resort for adhesiolysis? A laparoscopic approach for small-bowel obstruction reduces 30-day complications. Surg Endosc. 2014 Jan; 28(1):65-73.
    View in: PubMed
  9. Sharma A, Deeb AP, Iannuzzi JC, Rickles AS, Monson JR, Fleming FJ. Tobacco smoking and postoperative outcomes after colorectal surgery. Ann Surg. 2013 Aug; 258(2):296-300.
    View in: PubMed
  10. Glance LG, Mukamel DB, Blumberg N, Fleming FJ, Hohmann SF, Dick AW. Association between surgical resident involvement and blood use in noncardiac surgery. Transfusion. 2014 Mar; 54(3):691-700.
    View in: PubMed
  11. Monson JR, Fleming FJ, Iannuzzi JC. Colorectal surgery training and patient safety: dissonance in an era of quality reporting. Colorectal Dis. 2013 Jul; 15(7):785-7.
    View in: PubMed
  12. Iannuzzi JC, Chandra A, Rickles AS, Kumar NG, Kelly KN, Gillespie DL, Monson JR, Fleming FJ. Resident involvement is associated with worse outcomes after major lower extremity amputation. J Vasc Surg. 2013 Sep; 58(3):827-831.e1.
    View in: PubMed
  13. Cellini C, Deeb AP, Sharma A, Monson JR, Fleming FJ. Association between operative approach and complications in patients undergoing Hartmann's reversal. Br J Surg. 2013 Jul; 100(8):1094-9.
    View in: PubMed
  14. Iannuzzi JC, Young KC, Kim MJ, Gillespie DL, Monson JR, Fleming FJ. Prediction of postdischarge venous thromboembolism using a risk assessment model. J Vasc Surg. 2013 Oct; 58(4):1014-1020.e1.
    View in: PubMed
  15. Sharma A, Deeb AP, Rickles AS, Iannuzzi JC, Monson JR, Fleming FJ. Closure of defunctioning loop ileostomy is associated with considerable morbidity. Colorectal Dis. 2013 Apr; 15(4):458-62.
    View in: PubMed
  16. 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.
    View in: PubMed
  17. 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.
    View in: PubMed
  18. 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.
    View in: PubMed
  19. 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.
    View in: PubMed
  20. 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.
    View in: PubMed
  21. 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; discussion 68-9.
    View in: PubMed
  22. 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.
    View in: PubMed
  23. 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.
    View in: PubMed
  24. 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.
    View in: PubMed
  25. Fleming FJ. Operative approach and venous thromboembolism in colorectal surgery: casual or causal association? Dis Colon Rectum. 2011 Dec; 54(12):1463-4.
    View in: PubMed
  26. Fleming FJ, Påhlman L, Monson JR. Neoadjuvant therapy in rectal cancer. Dis Colon Rectum. 2011 Jul; 54(7):901-12.
    View in: PubMed
  27. 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.
    View in: PubMed
  28. 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.
    View in: PubMed
  29. 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.
    View in: PubMed
  30. 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.
    View in: PubMed
  31. 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.
    View in: PubMed
  32. 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.
    View in: PubMed
  33. 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.
    View in: PubMed
  34. 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.
    View in: PubMed
  35. 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.
    View in: PubMed
  36. McCartan DP, Fleming FJ, Grace PA. The management of right iliac fossa pain - is timing everything? Surgeon. 2010 Aug; 8(4):211-7.
    View in: PubMed
  37. 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.
    View in: PubMed
  38. 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.
    View in: PubMed
  39. 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.
    View in: PubMed
  40. Fleming F, Winter D. Images in surgery. Richter's hernia at a 5-mm laparoscopic port site. Surgery. 2009 Sep; 146(3):523.
    View in: PubMed
  41. Alsinnawi M, Fleming FJ, Kenny BJ, Waldron D. Clinical images. Atypical midcycle pain. Am J Surg. 2009 Jan; 197(1):e1-2.
    View in: PubMed
  42. Abdulkarim A, Fleming FJ, Kavanagh EG, Burke PE, Grace PA. Vascular trauma in an Irish regional hospital. Surgeon. 2008 Jun; 6(3):157-61.
    View in: PubMed
  43. 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.
    View in: PubMed
  44. 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.
    View in: PubMed
  45. Fleming F, Grace P. Irritable bowel syndrome and negative appendectomy. Gut. 2007 Oct; 56(10):1479.
    View in: PubMed
  46. 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.
    View in: PubMed
  47. 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.
    View in: PubMed
  48. 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.
    View in: PubMed
  49. 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.
    View in: PubMed
  50. 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.
    View in: PubMed
  51. 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.
    View in: PubMed
  52. 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.
    View in: PubMed
  53. 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.
    View in: PubMed
  54. 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.
    View in: PubMed
  55. 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.
    View in: PubMed
  56. 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.
    View in: PubMed
  57. 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.
    View in: PubMed
  58. 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.
    View in: PubMed
  59. Abbasi M, Mahmood S, Fleming F, Carroll K, Wilson I. Diagnostic dilemma--solved by appendicectomy. Ir Med J. 2002 Jun; 95(6):186-7.
    View in: PubMed
  60. Fleming F, Ishtiaq A, O'Connor J. Patent omphalomesenteric duct presenting as an umbilical discharge. Ir Med J. 2001 Jun; 94(6):182.
    View in: PubMed
  61. 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.
    View in: PubMed

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