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.

Faculty Appointments

Associate Professor - Department of Surgery, Colorectal Surgery (SMD)

Associate Professor - Cancer Center - Joint

Credentials

Residency & Fellowship

Fellowship, Colon & Rectal Surgery, University of Rochester Medical Center. 2009 - 2011

Residency, Resident, Royal College of Surgeons (Dublin Ireland). 2004 - 2009

Fellowship, Research, St. Vincent's University Hospital (Ireland). 2001 - 2004

Residency, Resident, Royal College of Surgeons (Dublin Ireland). 1999 - 2001

Internship, Surgery (General Surgery), Mater Misericordiae University Hospital (Ireland). 1998 - 1999

Education

MBBCH | University College Dublin (Republic of Ireland). 1998

Awards

Victor W. Fazio, MD, MS, Award for Editorial Excellence.. 2024

James P Wilmot Cancer Research Fellowship Program Career Development Award. 2015 - 2018

Career Development Award. 2014

Diploma in Cancer Chemoprevention. 2007

JMS Doctor Awards. 2004

27th Millin Lecturer, November 2004. 2004

William O'Keeffe Memorial Prize. 2003

RCSI/SARS Surgical Research Fellowship. 2002

Research

Clinical Trials

Comparison of Surgery and Medicine on the Impact of Diverticulitis (COSMID) Trial

Lead Researcher: Fergal Fleming

The COSMID trial compares two different ways to treat people with diverticulitis. One way is to have surgery to remove the part of the colon that is affected by diverticulitis. The other way is to take medicine and make changes to your diet and lifes...

Publications

Journal Articles

Rectal Cancer Watch & Wait Management: Experience of 545 Patients from the U.S. Rectal Cancer Research Group.

Lai SH, Widmar M, Monson JRT, Fleming FJ, Morris AM, Vogel JD,

Diseases of the colon and rectum.. 2024 November 7 Epub 11/07/2024.

Cancer Mortality in Louisiana's Correctional System, 2015-2021.

Dhimal T, Cupertino P, Cheng Z, Ramsdale EE, Hilty Chu BK, Kaplan BJ, Armstrong A, Cai X, Li Y, Fleming FJ, Loria A

JAMA network open.. 2024 November 47 (11):e2446411. Epub 11/04/2024.

The Rise of Patients Declining Rectal Cancer Surgery in the Era of Total Neoadjuvant Therapy.

Hilty Chu BK, Loria A, Dhimal T, Li Y, Colugnati F, Yousefi Nooraie R, Cupertino P, Aquina CT, Ramsdale EE, Fleming FJ

Annals of surgical oncology.. 2024 November 31 (12):7798-7806. Epub 08/15/2024.

Mismatch Repair and Microsatellite Testing for Individuals With Colorectal Cancer.

Dhimal T, Colugnati F, Hilty Chu BK, Loria A, Cupertino P, Mulkerin D, Fleming FJ

JAMA oncology.. 2024 October 3 Epub 10/03/2024.

ASO Visual Abstract: The Rise of Patients Declining Rectal Cancer Surgery in the Era of Total Neoadjuvant Therapy.

Hilty Chu BK, Loria A, Dhimal T, Li Y, Colugnati F, Yousefi Nooraie R, Cupertino P, Aquina CT, Ramsdale EE, Fleming FJ

Annals of surgical oncology.. 2024 September 12 Epub 09/12/2024.

ASO Author Reflections: Improving Shared-Decision Making in Rectal Cancer.

Hilty Chu BK, Loria A, Dhimal T, Cupertino P, Fleming FJ

Annals of surgical oncology.. 2024 August 28 Epub 08/28/2024.

Comparative analysis of short-term outcomes after semielective and elective surgery for sigmoid volvulus.

Hilty Chu B, Loria A, Cai X, Gao S, Dhimal T, Li Y, Cupertino P, Temple LK, Fleming FJ

Surgery.. 2024 August 26 Epub 08/26/2024.

Quality improvement in surgical collaboratives: Characterizing resources and care variation to facilitate implementation and dissemination.

Dhimal T, Loria A, Juviler P, Hilty BK, Levatino E, Schiralli MP, Fleming FJ,

Surgery.. 2024 July 176 (1):214-216. Epub 05/09/2024.

Defining standards and core outcomes for clinical trials in prehabilitation for colorectal surgery (DiSCO): modified Delphi methodology to achieve patient and healthcare professional consensus.

Fish R, Blackwell S, Knight SR, Daniels S, West MA, Pearson I, Moug SJ,

The British journal of surgery.. 2024 June 12111 (6)Epub 1900 01 01.

Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research.

Dhimal T, Cupertino P, Ghaffar A, Li Y, Cai X, Soto C, Ramaswamy M, Herdman BW, Fleming FJ, Loria A

Annals of surgery open : perspectives of surgical history, education, and clinical approaches.. 2024 June 5 (2):e434. Epub 05/02/2024.

New Onset Geriatric Syndromes and One-year Outcomes Following Elective Gastrointestinal Cancer Surgery.

Melucci AD, Loria A, Aquina CT, McDonald G, Schymura MJ, Schiralli MP, Cupertino A, Temple LK, Ramsdale E, Fleming FJ

Annals of surgery.. 2024 May 1279 (5):781-788. Epub 10/02/2023.

The Upstate New York Surgical Quality Improvement Opioid Reduction Project.

Jacob EA, Melucci AD, Talbot EA, Fleming F, Schiralli M, Foster C, Foster L, Donovan K, Simran K, John VJ, Hellenthal NJ

The American surgeon.. 2024 May 90 (5):1100-1102. Epub 12/08/2023.

From Clinical Trials to Practice: Anticipating and Overcoming Challenges in Implementing Watch-and-Wait for Rectal Cancer.

Loria A, Ramsdale EE, Aquina CT, Cupertino P, Mohile SG, Fleming FJ

Journal of clinical oncology : official journal of the American Society of Clinical Oncology.. 2024 March 1042 (8):876-880. Epub 02/05/2024.

The empty pelvis syndrome: a core data set from the PelvEx collaborative.

The British journal of surgery.. 2024 March 2111 (3)Epub 1900 01 01.

A Scoping Review of Quality-of-Life Assessments Employed in Abdominal Wall Reconstruction.

LaGuardia JS, Milek D, Lebens RS, Chen DR, Moghadam S, Loria A, Langstein HN, Fleming FJ, Leckenby JI

The Journal of surgical research.. 2024 March 295 :240-252. Epub 12/02/2023.

Beating the empty pelvis syndrome: the PelvEx Collaborative core outcome set study protocol.

BMJ open.. 2024 February 514 (2):e076538. Epub 02/05/2024.

Development and validation of multivariable predictive models for recurrence and mortality following nonoperative management of sigmoid volvulus.

Loria A, Cai X, Gao S, Zhao T, Juviler P, Li Y, Cupertino P, Fleming FJ

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2024 February 26 (2):356-363. Epub 12/27/2023.

Metabolic syndrome and surgical complications: a systematic review and meta-analysis of 13 million individuals.

Norris P, Gow J, Arthur T, Conway A, Fleming FJ, Ralph N

International journal of surgery.. 2024 January 1110 (1):541-553. Epub 01/01/2024.

Practice Patterns for Organ Preservation in US Patients With Rectal Cancer, 2006-2020.

Loria A, Tejani MA, Temple LK, Justiniano CF, Melucci AD, Becerra AZ, Monson JRT, Aquina CT, Fleming FJ

JAMA oncology.. 2024 January 110 (1):79-86. Epub 1900 01 01.

Restoration of Quality of Life and Functional Recovery After Colorectal Cancer Surgery in Older Adults.

Loria A, Fleming FJ

Journal of clinical oncology : official journal of the American Society of Clinical Oncology.. 2023 December 141 (34):5225-5227. Epub 06/30/2023.

Is there an outcome benefit? Patient engagement technology in addition to the electronic medical record patient portal following elective colorectal surgery.

Melucci AD, Flodman K, Loria A, Swanson HL, Robinson MK, Hasselberg MJ, Evans L, Temple LK, Fleming FJ

Surgical endoscopy.. 2023 December 37 (12):9275-9282. Epub 10/25/2023.

Empty pelvis syndrome: PelvEx Collaborative guideline proposal.

The British journal of surgery.. 2023 November 9110 (12):1730-1731. Epub 1900 01 01.

Guideline Compliant Minimum Asymptomatic Carotid Endarterectomy Surgeon and Hospital Volume Cutoffs.

Geiger JT, Fleming F, Iannuzzi JC, Stoner M, Doyle A

Annals of vascular surgery.. 2023 November 97 :129-138. Epub 07/14/2023.

Factors associated with recurrent appendicitis after successful treatment with antibiotics.

Flum DR,

The British journal of surgery.. 2023 October 10110 (11):1482-1489. Epub 1900 01 01.

Are postoperative opioid stewardship protocols sustainable? Results from a 2-year quality improvement project.

Melucci AD, Loria A, Swanson H, White Q, Moalem J, Fleming FJ, Temple LK

Surgery.. 2023 September 174 (3):517-523. Epub 07/06/2023.

New insights into the responder/nonresponder divide in rectal cancer: Damage-induced Type I IFNs dictate treatment efficacy and can be targeted to enhance radiotherapy.

Uccello TP, Lesch ML, Kintzel SA, Gradzewicz LB, Lamrous L, Murphy SP, Fleming FJ, Mills BN, Murphy JD, Hughson A, Hannon G, Garrett-Larsen J, Qiu H, Drage MG, Ye J, Gavras NW, Keeley DC, Love TMT, Repasky EA, Lord EM, Linehan DC, Gerber SA

Cell death & disease.. 2023 July 2614 (7):470. Epub 07/26/2023.

Implementation of a new definition for acute kidney injury in the National Surgical Quality Improvement Project: What is the impact?

Loria A, Melucci AD, Burchard PR, Ghaffar A, Levatino E, Temple LK, Fleming FJ

Surgery.. 2023 July 174 (1):2-9. Epub 01/06/2023.

Epidemiology and healthcare utilization for rectal foreign bodies in United States adults, 2012-2021.

Loria A, Marianetti I, Cook CA, Melucci AD, Ghaffar A, Juviler P, Temple LK, Jones CMC, Fleming FJ

The American journal of emergency medicine.. 2023 July 69 :76-82. Epub 03/30/2023.

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries.

The British journal of surgery.. 2023 June 12110 (7):804-817. Epub 1900 01 01.

Could meeting the standards of the National Accreditation Program for Rectal Cancer in the National Cancer Database improve patient outcomes?

Brady JT, Bingmer K, Bliggenstorfer J, Xu Z, Fleming FJ, Remzi FH, Monson JRT, Wexner SD, Dietz DW,

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2023 May 25 (5):916-922. Epub 03/11/2023.

New insights into the responder/nonresponder divide in rectal cancer: Damage-induced Type I IFNs dictate treatment efficacy and can be targeted to enhance radiotherapy.

Gerber S, Uccello T, Lesch M, Kintzel S, Gradzewicz L, Lamrous L, Murphy S, Fleming F, Mills B, Murphy J, Hughson A, Garrett-Larsen J, Qiu H, Drage M, Ye J, Gavras N, Keeley D, Love T, Repasky E, Lord E, Linehan D

Research square.. 2023 April 13 Epub 04/13/2023.

Radiation Therapy Exacerbates Tumor-Promoting Innervation and Nerve Signaling in Rectal Cancer.

Uccello TP, Lecsh ML, Ullman NA, Kintzel SA, Gradzewicz LB, Velagaleti T, Fleming FJ, Mills BN, Murphy JD, Garrett-Larsen J, Qiu H, Drage MG, Ye J, Gavras NW, Johnston CJ, Love TMT, Repasky EA, Linehan DC, Lord EM, Gerber SA

International journal of radiation oncology, biology, physics.. 2023 March 1115 (3):733-745. Epub 10/04/2022.

A Novel Use for Pelvic MRI Scans to Estimate Lean Body Mass and Screen for Sarcopenia in Patients With Rectal Cancer.

Melucci AD, Lynch OF, Loria A, Mustian KM, Dunne RF, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2023 March 166 (3):e122-e126. Epub 12/22/2022.

Major renal morbidity following elective rectal cancer resection by the type of diverting ostomy.

Loria A, Becerra AZ, Melucci AD, Ghaffar A, Croft A, Hanchett VA, Temple LK, Fleming FJ

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2023 March 25 (3):404-412. Epub 11/13/2022.

Low Preoperative Serum Creatinine is Common and Associated With Poor Outcomes After Nonemergent Inpatient Surgery.

Loria A, Glance LG, Melucci AD, Boodry C, Justiniano CF, Dunne RF, Mustian KM, Becerra AZ, Jusko TA, Temple LK, Fleming FJ

Annals of surgery.. 2023 February 1277 (2):246-251. Epub 11/28/2022.

Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes.

Loria A, Jacobson T, Melucci AD, Bartell N, Nabozny MJ, Temple LK, Fleming FJ

American journal of surgery.. 2023 January 225 (1):191-197. Epub 08/01/2022.

Minimum standards of pelvic exenterative practice: PelvEx Collaborative guideline.

The British journal of surgery.. 2022 November 22109 (12):1251-1263. Epub 1900 01 01.

An assessment of left-digit bias in the treatment of older patients with potentially curable rectal cancer.

Melucci AD, Loria A, Ramsdale E, Temple LK, Fleming FJ, Aquina CT

Surgery.. 2022 September 172 (3):851-858. Epub 07/15/2022.

Association of Time Elapsed Since Ischemic Stroke With Risk of Recurrent Stroke in Older Patients Undergoing Elective Nonneurologic, Noncardiac Surgery.

Glance LG, Benesch CG, Holloway RG, Thirukumaran CP, Nadler JW, Eaton MP, Fleming FJ, Dick AW

JAMA surgery.. 2022 August 1157 (8):e222236. Epub 08/10/2022.

Is robotic utilization associated with increased minimally invasive colorectal surgery rates? Surgeon-level evidence.

Justiniano CF, Becerra AZ, Loria A, Xu Z, Aquina CT, Temple LK, Fleming FJ

Surgical endoscopy.. 2022 August 36 (8):5618-5626. Epub 01/13/2022.

Impact of microsatellite status in early-onset colonic cancer.

The British journal of surgery.. 2022 June 14109 (7):632-636. Epub 1900 01 01.

Factors affecting short-term survival in patients older than 85 treated with resection for stage II and III colon cancer.

Poles G, Kaur R, Ramsdale E, Schymura MJ, Temple LK, Fleming FJ, Aquina CT

Surgery.. 2022 May 171 (5):1200-1208. Epub 11/24/2021.

The accumulation of ERAS (enhanced recovery after surgery) components reduces post-colectomy length of stay at small and low volume hospitals.

Justiniano CF, Loria A, Hellenthal NJ, Schiralli MP, Soto FC, Albright JB, Giangreco L, Temple LK, Fleming FJ,

American journal of surgery.. 2022 April 223 (4):744-752. Epub 07/07/2021.

Patient Factors Associated With Appendectomy Within 30 Days of Initiating Antibiotic Treatment for Appendicitis.

, Monsell SE, Voldal EC, Davidson GH, Fischkoff K, Coleman N, Bizzell B, Price T, Narayan M, Siparsky N, Thompson CM, Ayoung-Chee P, Odom SR, Sanchez S, Drake FT, Johnson J, Cuschieri J, Evans HL, Liang MK, McGrane K, Hatch Q, Victory J, Wisler J, Salzberg M, Ferrigno L, Kaji A, DeUgarte DA, Gibbons MM, Alam HB, Scott J, Kao LS, Self WH, Winchell RJ, Villegas CM, Talan DA, Kessler LG, Lavallee DC, Krishnadasan A, Lawrence SO, Comstock B, Fannon E, Flum DR, Heagerty PJ

JAMA surgery.. 2022 March 1157 (3):e216900. Epub 03/09/2022.

Postoperative Acute Kidney Injury in Colorectal Surgery.

Loria A, Fleming FJ

Diseases of the colon and rectum.. 2022 March 165 (3):308-312. Epub 1900 01 01.

Microsatellite instability in young patients with rectal cancer: molecular findings and treatment response.

The British journal of surgery.. 2022 February 24109 (3):251-255. Epub 1900 01 01.

Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative.

Cancers.. 2022 February 2414 (5)Epub 02/24/2022.

Surgeon volume and established hospital perioperative mortality rate together predict for superior outcomes after open abdominal aortic aneurysm repair.

Geiger JT, Fleming FJ, Stoner M, Doyle A

Journal of vascular surgery.. 2022 February 75 (2):504-513.e3. Epub 09/22/2021.

Generalizability of Randomized Controlled Trials in Rectal Cancer.

Hsu S, Rosen KJ, Cupertino A, Temple L, Fleming F

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2022 February 26 (2):453-465. Epub 11/09/2021.

Acute kidney injury is a common and significant complication following ileostomy formation.

Loria A, Melucci A, Speranza J, Cellini C, Salloum R, Temple LK, Fleming FJ, Justiniano CF

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2022 January 24 (1):102-110. Epub 10/07/2021.

Problem-solving skills training in adult cancer survivors: Bright IDEAS-AC pilot study.

Noyes K, Zapf AL, Depner RM, Flores T, Huston A, Rashid HH, McNeal D, Constine LS, Fleming FJ, Wilding GE, Sahler OJZ

Cancer treatment and research communications.. 2022 31 :100552. Epub 03/25/2022.

Post-Operative Functional Outcomes in Early Age Onset Rectal Cancer.

Frontiers in oncology.. 2022 12 :868359. Epub 05/30/2022.

Strategies for Improving Access to Cancer Services in Rural Communities: A Pre-implementation Study.

Crabtree-Ide C, Sevdalis N, Bellohusen P, Constine LS, Fleming F, Holub D, Rizvi I, Rodriguez J, Shayne M, Termer N, Tomaszewski K, Noyes K

Frontiers in health services.. 2022 2 :818519. Epub 03/14/2022.

Variation in outcomes across surgeons meeting the Leapfrog volume standard for complex oncologic surgery.

Aquina CT, Becerra AZ, Fleming FJ, Cloyd JM, Tsung A, Pawlik TM, Ejaz A

Cancer.. 2021 November 1127 (21):4059-4071. Epub 07/22/2021.

Characteristics of Early-Onset vs Late-Onset Colorectal Cancer: A Review.

, Zaborowski AM, Abdile A, Adamina M, Aigner F, d'Allens L, Allmer C, Álvarez A, Anula R, Andric M, Atallah S, Bach S, Bala M, Barussaud M, Bausys A, Bebington B, Beggs A, Bellolio F, Bennett MR, Berdinskikh A, Bevan V, Biondo S, Bislenghi G, Bludau M, Boutall A, Brouwer N, Brown C, Bruns C, Buchanan DD, Buchwald P, Burger JWA, Burlov N, Campanelli M, Capdepont M, Carvello M, Chew HH, Christoforidis D, Clark D, Climent M, Cologne KG, Contreras T, Croner R, Daniels IR, Dapri G, Davies J, Delrio P, Denost Q, Deutsch M, Dias A, D'Hoore A, Drozdov E, Duek D, Dunlop M, Dziki A, Edmundson A, Efetov S, El-Hussuna A, Elliot B, Emile S, Espin E, Evans M, Faes S, Faiz O, Fleming F, Foppa C, Fowler G, Frasson M, Figueiredo N, Forgan T, Frizelle F, Gadaev S, Gellona J, Glyn T, Gong J, Goran B, Greenwood E, Guren MG, Guillon S, Gutlic I, Hahnloser D, Hampel H, Hanly A, Hasegawa H, Iversen LH, Hill A, Hill J, Hoch J, Hoffmeister M, Hompes R, Hurtado L, Iaquinandi F, Imbrasaite U, Islam R, Jafari MD, Kanemitsu Y, Karachun A, Karimuddin AA, Keller DS, Kelly J, Kennelly R, Khrykov G, Kocian P, Koh C, Kok N, Knight KA, Knol J, Kontovounisios C, Korner H, Krivokapic Z, Kronberger I, Kroon HM, Kryzauskas M, Kural S, Kusters M, Lakkis Z, Lankov T, Larson D, Lázár G, Lee KY, Lee SH, Lefèvre JH, Lepisto A, Lieu C, Loi L, Lynch C, Maillou-Martinaud H, Maroli A, Martin S, Martling A, Matzel KE, Mayol J, McDermott F, Meurette G, Millan M, Mitteregger M, Moiseenko A, Monson JRT, Morarasu S, Moritani K, Möslein G, Munini M, Nahas C, Nahas S, Negoi I, Novikova A, Ocares M, Okabayashi K, Olkina A, Oñate-Ocaña L, Otero J, Ozen C, Pace U, São Julião GP, Panaiotti L, Panis Y, Papamichael D, Park J, Patel S, Patrón Uriburu JC, Pera M, Perez RO, Petrov A, Pfeffer F, Phang PT, Poskus T, Pringle H, Proud D, Raguz I, Rama N, Rasheed S, Raval MJ, Rega D, Reissfelder C, Reyes Meneses JC, Ris F, Riss S, Rodriguez-Zentner H, Roxburgh CS, Saklani A, Salido AJ, Sammour T, Saraste D, Schneider M, Seishima R, Sekulic A, Seppala T, Sheahan K, Shine R, Shlomina A, Sica GS, Singnomklao T, Siragusa L, Smart N, Solis A, Spinelli A, Staiger RD, Stamos MJ, Steele S, Sunderland M, Tan KK, Tanis PJ, Tekkis P, Teklay B, Tengku S, Jiménez-Toscano M, Tsarkov P, Turina M, Ulrich A, Vailati BB, van Harten M, Verhoef K, Warrier S, Wexner S, de Wilt H, Weinberg BA, Wells C, Wolthuis A, Xynos E, You N, Zakharenko A, Zeballos J, Winter DC

JAMA surgery.. 2021 September 1156 (9):865-874. Epub 1900 01 01.

Induction chemotherapy followed by chemoradiotherapy versus chemoradiotherapy alone as neoadjuvant treatment for locally recurrent rectal cancer: study protocol of a multicentre, open-label, parallel-arms, randomized controlled study (PelvEx II).

BJS open.. 2021 May 75 (3)Epub 1900 01 01.

Perioperative management and anaesthetic considerations in pelvic exenterations using Delphi methodology: results from the PelvEx Collaborative.

BJS open.. 2021 January 85 (1)Epub 1900 01 01.

One-year patient survival correlates with surgeon volume after elective open abdominal aortic surgery.

Geiger JT, Aquina CT, Esce A, Zhao P, Glocker R, Fleming F, Iannuzzi J, Stoner M, Doyle A

Journal of vascular surgery.. 2021 January 73 (1):108-116.e1. Epub 05/19/2020.

The Association between Pathologic Complete Response after Neoadjuvant Chemoradiotherapy and Postoperative Complications.

Hsu S, Rosen KJ, Temple L, Fleming FJ

Digestive surgery.. 2021 38 (4):300-306. Epub 06/01/2021.

Predicting outcomes of pelvic exenteration using machine learning.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2020 December 22 (12):1933-1940. Epub 07/29/2020.

A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis.

, Flum DR, Davidson GH, Monsell SE, Shapiro NI, Odom SR, Sanchez SE, Drake FT, Fischkoff K, Johnson J, Patton JH, Evans H, Cuschieri J, Sabbatini AK, Faine BA, Skeete DA, Liang MK, Sohn V, McGrane K, Kutcher ME, Chung B, Carter DW, Ayoung-Chee P, Chiang W, Rushing A, Steinberg S, Foster CS, Schaetzel SM, Price TP, Mandell KA, Ferrigno L, Salzberg M, DeUgarte DA, Kaji AH, Moran GJ, Saltzman D, Alam HB, Park PK, Kao LS, Thompson CM, Self WH, Yu JT, Wiebusch A, Winchell RJ, Clark S, Krishnadasan A, Fannon E, Lavallee DC, Comstock BA, Bizzell B, Heagerty PJ, Kessler LG, Talan DA

The New England journal of medicine.. 2020 November 12383 (20):1907-1919. Epub 10/05/2020.

Response Regarding: Complications and Survivorship Trends After Primary Debulking Surgery for Ovarian Cancer.

Becerra AZ, Xu Z, Fleming FJ, Temkin SM

The Journal of surgical research.. 2020 November 255 :652. Epub 06/17/2020.

Simultaneous pelvic exenteration and liver resection for primary rectal cancer with synchronous liver metastases: results from the PelvEx Collaborative.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2020 October 22 (10):1258-1262. Epub 05/12/2020.

The impact of the COVID-19 pandemic on the Management of Locally Advanced Primary/Recurrent Rectal Cancer.

The British journal of surgery.. 2020 October 107 (11):e547-e548. Epub 08/10/2020.

The global cost of pelvic exenteration: in-hospital perioperative costs.

The British journal of surgery.. 2020 October 107 (11):e470-e471. Epub 08/15/2020.

Management strategies for patients with advanced rectal cancer and liver metastases using modified Delphi methodology: results from the PelvEx Collaborative.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2020 September 22 (9):1184-1188. Epub 03/02/2020.

Adjuvant Chemotherapy Use in Patients With Locally Advanced Rectal Cancer: A Single-Institution Experience.

Li F, Nielsen G, Baran A, Hu J, Wallace D, Preslar M, Fleming F, Temple L, Dunne RF, Noel M, Hezel AF, Tejani MA

Clinical colorectal cancer.. 2020 September 19 (3):e124-e128. Epub 04/14/2020.

Centralizing Rectal Cancer Surgery: What Is the Impact of Travel on Patients?

Xu Z, Aquina CT, Justiniano CF, Becerra AZ, Boscoe FP, Schymura MJ, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2020 March 63 (3):319-325. Epub 1900 01 01.

Complications and Survivorship Trends After Primary Debulking Surgery for Ovarian Cancer.

Xu Z, Becerra AZ, Justiniano CF, Aquina CT, Fleming FJ, Boscoe FP, Schymura MJ, Sinno AK, Chaoul J, Morrow GR, Minasian L, Temkin SM

The Journal of surgical research.. 2020 February 246 :34-41. Epub 09/24/2019.

A Population-Based Study of 90-Day Hospital Cost and Utilization Associated With Robotic Surgery in Colon and Rectal Cancer.

Justiniano CF, Becerra AZ, Xu Z, Aquina CT, Boodry CI, Schymura MJ, Boscoe FP, Noyes K, Temple LK, Fleming FJ

The Journal of surgical research.. 2020 January 245 :136-144. Epub 08/13/2019.

Do All Patients Require Resection After Successful Drainage of Diverticular Abscesses?

Aquina CT, Fleming FJ, Hall J, Hyman N

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2020 January 24 (1):219-220. Epub 09/16/2019.

Allogeneic Leukocyte-Reduced Red Blood Cell Transfusion Is Associated with Postoperative Infectious Complications and Cancer Recurrence after Colon Cancer Resection.

Deeb AP, Aquina CT, Monson JRT, Blumberg N, Becerra AZ, Fleming FJ

Digestive surgery.. 2020 37 (2):163-170. Epub 03/05/2019.

Quality Assurance, Metrics, and Improving Standards in Rectal Cancer Surgery in the United States.

Xu Z, Fleming FJ

Frontiers in oncology.. 2020 10 :655. Epub 04/29/2020.

Hospital and surgeon variation in positive circumferential resection margin among rectal cancer patients.

Justiniano CF, Aquina CT, Fleming FJ, Xu Z, Boscoe FP, Schymura MJ, Temple LK, Becerra AZ

American journal of surgery.. 2019 November 218 (5):881-886. Epub 02/28/2019.

Treatments for Stage IV Colon Cancer and Overall Survival.

Xu Z, Becerra AZ, Fleming FJ, Aquina CT, Dolan JG, Monson JR, Temple LK, Jusko TA

The Journal of surgical research.. 2019 October 242 :47-54. Epub 05/06/2019.

Increasing surgeon volume correlates with patient survival following open abdominal aortic aneurysm repair.

Esce A, Medhekar A, Fleming F, Glocker R, Ellis J, Raman K, Stoner M, Doyle A

Journal of vascular surgery.. 2019 September 70 (3):762-767. Epub 03/07/2019.

Surgeon, Hospital, and Geographic Variation in Minimally Invasive Colectomy.

Aquina CT, Becerra AZ, Justiniano CF, Xu Z, Boscoe FP, Schymura MJ, Noyes K, Monson JRT, Temple LK, Fleming FJ

Annals of surgery.. 2019 June 269 (6):1109-1116. Epub 1900 01 01.

Characterizing cancer cachexia in the geriatric oncology population.

Dunne RF, Roussel B, Culakova E, Pandya C, Fleming FJ, Hensley B, Magnuson AM, Loh KP, Gilles M, Ramsdale E, Maggiore RJ, Jatoi A, Mustian KM, Dale W, Mohile SG

Journal of geriatric oncology.. 2019 May 10 (3):415-419. Epub 09/05/2018.

Postoperative Mortality After Nonelective Surgery for Inflammatory Bowel Disease Patients in the Era of Biologics.

Justiniano CF, Aquina CT, Becerra AZ, Xu Z, Boodry CI, Swanger AA, Monson JRT, Fleming FJ

Annals of surgery.. 2019 April 269 (4):686-691. Epub 1900 01 01.

Effect of care continuity on mortality of patients readmitted after colorectal surgery.

Justiniano CF, Xu Z, Becerra AZ, Aquina CT, Boodry CI, Temple LK, Fleming FJ

The British journal of surgery.. 2019 April 106 (5):636-644. Epub 02/01/2019.

Short course radiation therapy for rectal cancer in the elderly: can radical surgery be avoided?

Cummings MA, Usuki KY, Fleming FJ, Tejani MA, Katz AW

Journal of gastrointestinal oncology.. 2019 April 10 (2):357-361. Epub 1900 01 01.

Population-based study of outcomes following an initial acute diverticular abscess.

Aquina CT, Becerra AZ, Xu Z, Justiniano CF, Noyes K, Monson JRT, Fleming FJ

The British journal of surgery.. 2019 March 106 (4):467-476. Epub 10/18/2018.

Readmissions With Dehydration After Ileostomy Creation: Rethinking Risk Factors.

Justiniano CF, Temple LK, Swanger AA, Xu Z, Speranza JR, Cellini C, Salloum RM, Fleming FJ

Diseases of the colon and rectum.. 2018 November 61 (11):1297-1305. Epub 1900 01 01.

Nationwide Heterogeneity in Hospital-Specific Probabilities of Rectal Cancer Understaging and Its Effects on Outcomes.

Becerra AZ, Wexner SD, Dietz DW, Xu Z, Aquina CT, Justiniano CF, Swanger AA, Temple LK, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2018 August 25 (8):2332-2339. Epub 05/30/2018.

Evaluating the Current Status of Rectal Cancer Care in the US: Where We Stand at the Start of the Commission on Cancer's National Accreditation Program for Rectal Cancer.

Brady JT, Xu Z, Scarberry KB, Saad A, Fleming FJ, Remzi FH, Wexner SD, Winchester DP, Monson JRT, Lee L, Dietz DW,

Journal of the American College of Surgeons.. 2018 May 226 (5):881-890. Epub 03/23/2018.

Accreditation Readiness in US Multidisciplinary Rectal Cancer Care: A Survey of OSTRICH Member Institutions.

Lee L, Dietz DW, Fleming FJ, Remzi FH, Wexner SD, Winchester D, Monson JRT

JAMA surgery.. 2018 April 1153 (4):388-390. Epub 1900 01 01.

Reply to Letter to the Editor "30-day Readmission Following Operative Management of Adhesive Small Bowel Obstruction".

Aquina CT, Becerra AZ, Fleming FJ, Becerra AZ

Annals of surgery.. 2018 March 267 (3):e57. Epub 1900 01 01.

Surgeon, Hospital, and Geographic Variation in Minimally Invasive Colectomy.

Aquina CT, Becerra AZ, Justiniano CF, Xu Z, Boscoe FP, Schymura MJ, Noyes K, Monson JRT, Temple LK, Fleming FJ

Annals of surgery.. 2018 February 9 Epub 02/09/2018.

Patterns and Yearly Time Trends in the Use of Radiation Therapy During the Last 30 Days of Life Among Patients With Metastatic Rectal Cancer in the United States From 2004 to 2012.

Becerra AZ, Probst CP, Fleming FJ, Xu Z, Aquina CT, Justiniano CF, Boodry CI, Swanger AA, Noyes K, Katz AW, Monson JR, Jusko TA

The American journal of hospice & palliative care.. 2018 February 35 (2):336-342. Epub 05/11/2017.

Who gets a pouch after colectomy in New York state and why?

Aquina CT, Fleming FJ, Becerra AZ, Hensley BJ, Noyes K, Monson JRT, Temple LK, Cellini C

Surgery.. 2018 February 163 (2):305-310. Epub 10/13/2017.

Superior 3-Year Value of Open and Endovascular Repair of Abdominal Aortic Aneurysm with High-Volume Providers.

Esce A, Medhekar A, Fleming F, Noyes K, Glocker R, Ellis J, Raman K, Stoner M, Doyle A

Annals of vascular surgery.. 2018 January 46 :17-29. Epub 09/06/2017.

Trends in Surgeon-Level Utilization of Sacral Nerve Stimulator Implantation for Fecal Incontinence in New York State.

Xu Z, Fleming FJ, Justiniano CF, Becerra AZ, Boodry CI, Aquina CT, Temple LK, Speranza JR

Diseases of the colon and rectum.. 2018 January 61 (1):107-114. Epub 1900 01 01.

The American Society of Colon and Rectal Surgeons Clinical Practice Guideline for the Prevention of Venous Thromboembolic Disease in Colorectal Surgery.

Fleming F, Gaertner W, Ternent CA, Finlayson E, Herzig D, Paquette IM, Feingold DL, Steele SR

Diseases of the colon and rectum.. 2018 January 61 (1):14-20. Epub 1900 01 01.

Exercise for Toxicity Management in Cancer-A Narrative Review.

Kleckner IR, Dunne RF, Asare M, Cole C, Fleming F, Fung C, Lin PJ, Mustian KM

Oncology & hematology review.. 2018 14 (1):28-37. Epub 02/15/2018.

Research priorities in cancer cachexia: The University of Rochester Cancer Center NCI Community Oncology Research Program Research Base Symposium on Cancer Cachexia and Sarcopenia.

Dunne RF, Mustian KM, Garcia JM, Dale W, Hayward R, Roussel B, Buschmann MM, Caan BJ, Cole CL, Fleming FJ, Chakkalakal JV, Linehan DC, Hezel AF, Mohile SG

Current opinion in supportive and palliative care.. 2017 December 11 (4):278-286. Epub 1900 01 01.

Is the Distance Worth It? Patients With Rectal Cancer Traveling to High-Volume Centers Experience Improved Outcomes.

Xu Z, Becerra AZ, Justiniano CF, Boodry CI, Aquina CT, Swanger AA, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2017 December 60 (12):1250-1259. Epub 1900 01 01.

Long-term Deleterious Impact of Surgeon Care Fragmentation After Colorectal Surgery on Survival: Continuity of Care Continues to Count.

Justiniano CF, Xu Z, Becerra AZ, Aquina CT, Boodry CI, Swanger A, Temple LK, Fleming FJ

Diseases of the colon and rectum.. 2017 November 60 (11):1147-1154. Epub 1900 01 01.

Patient Perspectives on Transitions of Surgical Care: Examining the Complexities and Interdependencies of Care.

González MG, Kelly KN, Dozier AM, Fleming F, Monson JRT, Becerra AZ, Aquina CT, Probst CP, Hensley BJ, Sevdalis N, Noyes K

Qualitative health research.. 2017 October 27 (12):1856-1869. Epub 05/10/2017.

Explaining variation in ventral and inguinal hernia repair outcomes: A population-based analysis.

Aquina CT, Fleming FJ, Becerra AZ, Xu Z, Hensley BJ, Noyes K, Monson JRT, Jusko TA

Surgery.. 2017 September 162 (3):628-639. Epub 05/18/2017.

Who Should Manage Patients with Adhesive Small Bowel Obstruction?

Aquina CT, Fleming FJ

Advances in surgery.. 2017 September 51 (1):125-140. Epub 05/13/2017.

A Comparison of Mortality Following Emergency Laparotomy Between Populations From New York State and England.

Tan BH, Mytton J, Al-Khyatt W, Aquina CT, Evison F, Fleming FJ, Griffiths E, Vohra RS

Annals of surgery.. 2017 August 266 (2):280-286. Epub 1900 01 01.

Association Among Blood Transfusion, Sepsis, and Decreased Long-term Survival After Colon Cancer Resection.

Aquina CT, Blumberg N, Becerra AZ, Boscoe FP, Schymura MJ, Noyes K, Monson JR, Fleming FJ

Annals of surgery.. 2017 August 266 (2):311-317. Epub 1900 01 01.

A Population-Based Cohort Study of Emergency Appendectomy Performed in England and New York State.

Al-Khyatt W, Mytton J, Tan BH, Aquina CT, Evison F, Fleming FJ, Pasquali S, Griffiths EA, Vohra RS

World journal of surgery.. 2017 August 41 (8):1975-1984. Epub 1900 01 01.

Outcomes for critical limb ischemia are driven by lower extremity revascularization volume, not distance to hospital.

Medhekar AN, Mix DS, Aquina CT, Trakimas LE, Noyes K, Fleming FJ, Glocker RJ, Stoner MC

Journal of vascular surgery.. 2017 August 66 (2):476-487.e1. Epub 04/10/2017.

Lymph node yield is an independent predictor of survival in rectal cancer regardless of receipt of neoadjuvant therapy.

Xu Z, Berho ME, Becerra AZ, Aquina CT, Hensley BJ, Arsalanizadeh R, Noyes K, Monson JR, Fleming FJ

Journal of clinical pathology.. 2017 July 70 (7):584-592. Epub 12/08/2016.

Variation in Delayed Time to Adjuvant Chemotherapy and Disease-Specific Survival in Stage III Colon Cancer Patients.

Becerra AZ, Aquina CT, Mohile SG, Tejani MA, Schymura MJ, Boscoe FP, Xu Z, Justiniano CF, Boodry CI, Swanger AA, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2017 June 24 (6):1610-1617. Epub 10/13/2016.

Nonelective colon cancer resection: A continued public health concern.

Aquina CT, Becerra AZ, Xu Z, Boscoe FP, Schymura MJ, Noyes K, Monson JR, Fleming FJ

Surgery.. 2017 June 161 (6):1609-1618. Epub 02/23/2017.

Surgeon-, pathologist-, and hospital-level variation in suboptimal lymph node examination after colectomy: Compartmentalizing quality improvement strategies.

Becerra AZ, Aquina CT, Berho M, Boscoe FP, Schymura MJ, Noyes K, Monson JR, Fleming FJ

Surgery.. 2017 May 161 (5):1299-1306. Epub 01/11/2017.

Emergent Colectomy Is Independently Associated with Decreased Long-Term Overall Survival in Colon Cancer Patients.

Xu Z, Becerra AZ, Aquina CT, Hensley BJ, Justiniano CF, Boodry C, Swanger AA, Arsalanizadeh R, Noyes K, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2017 March 21 (3):543-553. Epub 01/12/2017.

Poor compliance with adjuvant chemotherapy use associated with poorer survival in patients with rectal cancer: An NCDB analysis.

Xu Z, Mohile SG, Tejani MA, Becerra AZ, Probst CP, Aquina CT, Hensley BJ, Arsalanizadeh R, Noyes K, Monson JR, Fleming FJ

Cancer.. 2017 January 1123 (1):52-61. Epub 08/25/2016.

The impact of age on complications, survival, and cause of death following colon cancer surgery.

Aquina CT, Mohile SG, Tejani MA, Becerra AZ, Xu Z, Hensley BJ, Arsalani-Zadeh R, Boscoe FP, Schymura MJ, Noyes K, Monson JR, Fleming FJ

British journal of cancer.. 2017 January 116 (3):389-397. Epub 01/05/2017.

Variation in Hospital-Specific Rates of Suboptimal Lymphadenectomy and Survival in Colon Cancer: Evidence from the National Cancer Data Base.

Becerra AZ, Berho ME, Probst CP, Aquina CT, Tejani MA, Gonzalez MG, Xu Z, Swanger AA, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2016 December 23 (Suppl 5):674-683. Epub 09/09/2016.

The impact of surgeon volume on colostomy reversal outcomes after Hartmann's procedure for diverticulitis.

Aquina CT, Probst CP, Becerra AZ, Hensley BJ, Iannuzzi JC, Noyes K, Monson JR, Fleming FJ

Surgery.. 2016 November 160 (5):1309-1317. Epub 07/07/2016.

The Authors Reply.

Iannuzzi JC, Fleming FJ

Diseases of the colon and rectum.. 2016 November 59 (11):e447-e448. Epub 1900 01 01.

The Authors Reply.

Aquina CT, Fleming FJ

Diseases of the colon and rectum.. 2016 October 59 (10):e436-7. Epub 1900 01 01.

The Authors Reply.

Aquina CT, Fleming FJ

Diseases of the colon and rectum.. 2016 October 59 (10):e440. Epub 1900 01 01.

Patients With Adhesive Small Bowel Obstruction Should Be Primarily Managed by a Surgical Team.

Aquina CT, Becerra AZ, Probst CP, Xu Z, Hensley BJ, Iannuzzi JC, Noyes K, Monson JR, Fleming FJ

Annals of surgery.. 2016 September 264 (3):437-47. Epub 1900 01 01.

Missed Opportunity: Laparoscopic Colorectal Resection Is Associated With Lower Incidence of Small Bowel Obstruction Compared to an Open Approach.

Aquina CT, Probst CP, Becerra AZ, Iannuzzi JC, Hensley BJ, Noyes K, Monson JR, Fleming FJ

Annals of surgery.. 2016 July 264 (1):127-34. Epub 1900 01 01.

Surgical readmissions: results of integrating pre-, peri- and postsurgical care.

Noyes K, Baack-Kukreja J, Messing EM, Schoeniger L, Galka E, Pan W, Xueya C, Fleming FJ, Monson JR, Mohile SG, Francone T

Nursing open.. 2016 July 3 (3):168-178. Epub 05/10/2016.

Patient perspective on care transitions after colorectal surgery.

Kelly KN, Noyes K, Dolan J, Fleming F, Monson JR, Gonzalez M, Sevdalis N, Dozier A

The Journal of surgical research.. 2016 June 1203 (1):103-12. Epub 02/18/2016.

Evaluating the Prognostic Role of Elevated Preoperative Carcinoembryonic Antigen Levels in Colon Cancer Patients: Results from the National Cancer Database.

Becerra AZ, Probst CP, Tejani MA, Aquina CT, González MG, Hensley BJ, Noyes K, Monson JR, Fleming FJ

Annals of surgical oncology.. 2016 May 23 (5):1554-61. Epub 01/12/2016.

Large Variation in Blood Transfusion Use After Colorectal Resection: A Call to Action.

Aquina CT, Blumberg N, Probst CP, Becerra AZ, Hensley BJ, Noyes K, Monson JR, Fleming FJ

Diseases of the colon and rectum.. 2016 May 59 (5):411-8. Epub 1900 01 01.

Readmissions After Colectomy: The Upstate New York Surgical Quality Initiative Experience.

Hensley BJ, Cooney RN, Hellenthal NJ, Aquina CT, Noyes K, Monson JR, Kelly KN, Fleming FJ,

Diseases of the colon and rectum.. 2016 May 59 (5):419-25. Epub 1900 01 01.

High Variability in Nosocomial Clostridium difficile Infection Rates Across Hospitals After Colorectal Resection.

Aquina CT, Probst CP, Becerra AZ, Hensley BJ, Iannuzzi JC, Noyes K, Monson JR, Fleming FJ

Diseases of the colon and rectum.. 2016 April 59 (4):323-31. Epub 1900 01 01.

High volume improves outcomes: The argument for centralization of rectal cancer surgery.

Aquina CT, Probst CP, Becerra AZ, Iannuzzi JC, Kelly KN, Hensley BJ, Rickles AS, Noyes K, Fleming FJ, Monson JR

Surgery.. 2016 March 159 (3):736-48. Epub 11/11/2015.

Reply to: "Groin hernia repair, surgeon volume and patient reported outcome measures (PROMs)".

Aquina CT, Probst CP, Kelly KN, Iannuzzi JC, Noyes K, Fleming FJ, Monson JR

Surgery.. 2016 March 159 (3):980. Epub 11/14/2015.

Risk Factors for Postdischarge Venothromboembolism After Colorectal Resection.

Iannuzzi JC, Aquina CT, Rickles AS, Hensley BJ, Probst CP, Noyes K, Monson JR, Fleming FJ

Diseases of the colon and rectum.. 2016 March 59 (3):224-9. Epub 1900 01 01.

Watch and Wait?--Elevated Pretreatment CEA Is Associated with Decreased Pathological Complete Response in Rectal Cancer.

Probst CP, Becerra AZ, Aquina CT, Tejani MA, Hensley BJ, González MG, Noyes K, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2016 January 20 (1):43-52; discussion 52. Epub 11/06/2015.

High Rate of Positive Circumferential Resection Margins Following Rectal Cancer Surgery: A Call to Action.

Rickles AS, Dietz DW, Chang GJ, Wexner SD, Berho ME, Remzi FH, Greene FL, Fleshman JW, Abbas MA, Peters W, Noyes K, Monson JR, Fleming FJ,

Annals of surgery.. 2015 December 262 (6):891-8. Epub 1900 01 01.

Significant Variation in Blood Transfusion Practice Persists following Upper GI Cancer Resection.

Aquina CT, Blumberg N, Probst CP, Becerra AZ, Hensley BJ, Iannuzzi JC, Gonzalez MG, Deeb AP, Noyes K, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2015 November 19 (11):1927-37. Epub 08/12/2015.

Clinical Practice Guideline for Ambulatory Anorectal Surgery.

Ternent CA, Fleming F, Welton ML, Buie WD, Steele S, Rafferty J

Diseases of the colon and rectum.. 2015 October 58 (10):915-22. Epub 1900 01 01.

Opportunity lost: Adjuvant chemotherapy in patients with stage III colon cancer remains underused.

Becerra AZ, Probst CP, Tejani MA, Aquina CT, González MG, Hensley BJ, Noyes K, Monson JR, Fleming FJ

Surgery.. 2015 September 158 (3):692-9. Epub 05/29/2015.

The pitfalls of inguinal herniorrhaphy: Surgeon volume matters.

Aquina CT, Probst CP, Kelly KN, Iannuzzi JC, Noyes K, Fleming FJ, Monson JR

Surgery.. 2015 September 158 (3):736-46. Epub 05/30/2015.

Extended Intervals after Neoadjuvant Therapy in Locally Advanced Rectal Cancer: The Key to Improved Tumor Response and Potential Organ Preservation.

Probst CP, Becerra AZ, Aquina CT, Tejani MA, Wexner SD, Garcia-Aguilar J, Remzi FH, Dietz DW, Monson JR, Fleming FJ,

Journal of the American College of Surgeons.. 2015 August 221 (2):430-40. Epub 04/23/2015.

Timing of discharge: a key to understanding the reason for readmission after colorectal surgery.

Kelly KN, Iannuzzi JC, Aquina CT, Probst CP, Noyes K, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2015 March 19 (3):418-27; discussion 427-8. Epub 12/18/2014.

Visceral obesity, not elevated BMI, is strongly associated with incisional hernia after colorectal surgery.

Aquina CT, Rickles AS, Probst CP, Kelly KN, Deeb AP, Monson JR, Fleming FJ,

Diseases of the colon and rectum.. 2015 February 58 (2):220-7. Epub 1900 01 01.

Surgeon volume plays a significant role in outcomes and cost following open incisional hernia repair.

Aquina CT, Kelly KN, Probst CP, Iannuzzi JC, Noyes K, Langstein HN, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2015 January 19 (1):100-10; discussion 110. Epub 08/14/2014.

Risk scoring can predict readmission after endocrine surgery.

Iannuzzi JC, Fleming FJ, Kelly KN, Ruan DT, Monson JR, Moalem J

Surgery.. 2014 December 156 (6):1432-38; discussion 1438-40. Epub 11/11/2014.

Disease severity, not operative approach, drives organ space infection after pediatric appendectomy.

Kelly KN, Fleming FJ, Aquina CT, Probst CP, Noyes K, Pegoli W, Monson JR

Annals of surgery.. 2014 September 260 (3):466-71; discussion 472-3. Epub 1900 01 01.

Risk score for unplanned vascular readmissions.

Iannuzzi JC, Chandra A, Kelly KN, Rickles AS, Monson JR, Fleming FJ

Journal of vascular surgery.. 2014 May 59 (5):1340-7.e1. Epub 01/18/2014.

Perforated appendicitis: does rural residency really explain the delay?

McCartan D, Fleming FJ, Grace PA

Annals of surgery.. 2014 April 259 (4):e58. Epub 1900 01 01.

Association between surgical resident involvement and blood use in noncardiac surgery.

Glance LG, Mukamel DB, Blumberg N, Fleming FJ, Hohmann SF, Dick AW

Transfusion.. 2014 March 54 (3):691-700. Epub 07/25/2013.

Perioperative pleiotropic statin effects in general surgery.

Iannuzzi JC, Rickles AS, Kelly KN, Rusheen AE, Dolan JG, Noyes K, Monson JR, Fleming FJ

Surgery.. 2014 March 155 (3):398-407. Epub 11/21/2013.

The contemporary (over)treatment of rectal cancer: the goldilocks effect.

Fleming FJ, Monson JR

Diseases of the colon and rectum.. 2014 March 57 (3):403-6. Epub 1900 01 01.

Laparotomy for small-bowel obstruction: first choice or last resort for adhesiolysis? A laparoscopic approach for small-bowel obstruction reduces 30-day complications.

Kelly KN, Iannuzzi JC, Rickles AS, Garimella V, Monson JR, Fleming FJ

Surgical endoscopy.. 2014 January 28 (1):65-73. Epub 09/04/2013.

Risk factors associated with 30-day postoperative readmissions in major gastrointestinal resections.

Kelly KN, Iannuzzi JC, Rickles AS, Monson JR, Fleming FJ

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2014 January 18 (1):35-43; discussion 43-4. Epub 09/25/2013.

Defining high risk: cost-effectiveness of extended-duration thromboprophylaxis following major oncologic abdominal surgery.

Iannuzzi JC, Rickles AS, Kelly KN, Fleming FJ, Dolan JG, Monson JR, Noyes K

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2014 January 18 (1):60-8. Epub 10/08/2013.

Publication Link

Rickles, AS; Fleming, FJ.

Non-operative treatment of anastomotic leaks: Current and

Parastomal hernia: a growing problem with new solutions.

Aquina CT, Iannuzzi JC, Probst CP, Kelly KN, Noyes K, Fleming FJ, Monson JR

Digestive surgery.. 2014 31 (4-5):366-76. Epub 12/13/2014.

Prediction of postdischarge venous thromboembolism using a risk assessment model.

Iannuzzi JC, Young KC, Kim MJ, Gillespie DL, Monson JR, Fleming FJ

Journal of vascular surgery.. 2013 October 58 (4):1014-20.e1. Epub 05/14/2013.

Anastomotic leak or organ space surgical site infection: What are we missing in our quality improvement programs?

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,

Surgery.. 2013 October 154 (4):680-7; discussion 687-9. Epub 1900 01 01.

Vascular injuries associated with traumatic bone fractures.

Abdulkarim A, Fleming F, Grace P, Burke T

International journal of surgery.. 2013 October 11 (8):666. Epub 11/01/2013.

Resident involvement is associated with worse outcomes after major lower extremity amputation.

Iannuzzi JC, Chandra A, Rickles AS, Kumar NG, Kelly KN, Gillespie DL, Monson JR, Fleming FJ

Journal of vascular surgery.. 2013 September 58 (3):827-31.e1. Epub 06/14/2013.

Tobacco smoking and postoperative outcomes after colorectal surgery.

Sharma A, Deeb AP, Iannuzzi JC, Rickles AS, Monson JR, Fleming FJ

Annals of surgery.. 2013 August 258 (2):296-300. Epub 1900 01 01.

Colorectal surgery training and patient safety: dissonance in an era of quality reporting.

Monson JR, Fleming FJ, Iannuzzi JC

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2013 July 15 (7):785-7. Epub 1900 01 01.

Association between operative approach and complications in patients undergoing Hartmann's reversal.

Cellini C, Deeb AP, Sharma A, Monson JR, Fleming FJ

The British journal of surgery.. 2013 July 100 (8):1094-9. Epub 05/21/2013.

Closure of defunctioning loop ileostomy is associated with considerable morbidity.

Sharma A, Deeb AP, Rickles AS, Iannuzzi JC, Monson JR, Fleming FJ

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2013 April 15 (4):458-62. Epub 1900 01 01.

Outcomes associated with resident involvement in partial colectomy.

Iannuzzi JC, Rickles AS, Deeb AP, Sharma A, Fleming FJ, Monson JR

Diseases of the colon and rectum.. 2013 February 56 (2):212-8. Epub 1900 01 01.

Recognizing risk: bowel resection in the chronic renal failure population.

Iannuzzi JC, Deeb AP, Rickles AS, Sharma A, Fleming FJ, Monson JR

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2013 January 17 (1):188-94. Epub 09/13/2012.

Visceral obesity and colorectal cancer: are we missing the boat with BMI?

Rickles AS, Iannuzzi JC, Mironov O, Deeb AP, Sharma A, Fleming FJ, Monson JR

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract.. 2013 January 17 (1):133-43; discussion p.143. Epub 10/23/2012.

Factors independently associated with complications and length of stay after hip arthroplasty: analysis of the National Surgical Quality Improvement Program.

O'Malley NT, Fleming FJ, Gunzler DD, Messing SP, Kates SL

The Journal of arthroplasty.. 2012 December 27 (10):1832-7. Epub 07/17/2012.

PCV10 Cost-Effectiveness of Extended Duration Thromboprophylaxis After Surgical Discharge.

Iannuzzi JC, Rickles AS, Fleming FJ, Monson JR, Noyes K

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.. 2012 November 15 (7):A363. Epub 10/27/2012.

PSU6 Cost-Effectiveness Analysis of Treatment for Rectal Cancer Following Clinical Complete Response.

Rickles AS, Iannuzzi JC, Fleming FJ, Francone TD, Dolan JG, Monson JR, Noyes K

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.. 2012 November 15 (7):A403. Epub 10/27/2012.

The impact of operative approach in elective splenectomy: a multivariate analysis of outcomes from the NSQIP database.

Deeb AP, Kim MJ, Fleming FJ, Messing S, Gunzler D, Monson JR, Salloum RM

Surgical laparoscopy, endoscopy & percutaneous techniques.. 2012 October 22 (5):415-9. Epub 1900 01 01.

Perioperative risk of laparoscopic fundoplication: safer than previously reported-analysis of the American College of Surgeons National Surgical Quality Improvement Program 2005 to 2009.

Niebisch S, Fleming FJ, Galey KM, Wilshire CL, Jones CE, Litle VR, Watson TJ, Peters JH

Journal of the American College of Surgeons.. 2012 July 215 (1):61-8; discussion 68-9. Epub 05/10/2012.

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.

Lee Y, Fleming FJ, Deeb AP, Gunzler D, Messing S, Monson JR

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2012 May 14 (5):572-7. Epub 1900 01 01.

It's the procedure not the patient: the operative approach is independently associated with an increased risk of complications after rectal prolapse repair.

Fleming FJ, Kim MJ, Gunzler D, Messing S, Monson JR, Speranza JR

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2012 March 14 (3):362-8. Epub 1900 01 01.

Patient and surgeon factors are associated with the use of laparoscopy in appendicitis.

McCartan DP, Fleming FJ, Hill AD

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2012 February 14 (2):243-9. Epub 1900 01 01.

Neoadjuvant therapy in rectal cancer.

Fleming FJ, Påhlman L, Monson JR

Diseases of the colon and rectum.. 2011 July 54 (7):901-12. Epub 1900 01 01.

Laparoscopic appendectomy is safe and efficacious for the elderly: an analysis using the National Surgical Quality Improvement Project database.

Kim MJ, Fleming FJ, Gunzler DD, Messing S, Salloum RM, Monson JR

Surgical endoscopy.. 2011 June 25 (6):1802-7. Epub 02/07/2011.

Novel use of an air-filled breast prosthesis to allow radiotherapy to recurrent colonic cancer.

O'Duffy F, Toomey DP, Fleming F, McNamara DA

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.. 2011 March 13 (3):e42-5. Epub 1900 01 01.

A laparoscopic approach does reduce short-term complications in patients undergoing ileal pouch-anal anastomosis.

Fleming FJ, Francone TD, Kim MJ, Gunzler D, Messing S, Monson JR

Diseases of the colon and rectum.. 2011 February 54 (2):176-82. Epub 1900 01 01.

Association between intraoperative blood transfusion and mortality and morbidity in patients undergoing noncardiac surgery.

Glance LG, Dick AW, Mukamel DB, Fleming FJ, Zollo RA, Wissler R, Salloum R, Meredith UW, Osler TM

Anesthesiology.. 2011 February 114 (2):283-92. Epub 1900 01 01.

Balancing the risk of postoperative surgical infections: a multivariate analysis of factors associated with laparoscopic appendectomy from the NSQIP database.

Fleming FJ, Kim MJ, Messing S, Gunzler D, Salloum R, Monson JR

Annals of surgery.. 2010 December 252 (6):895-900. Epub 1900 01 01.

Perioperative outcomes among patients with the modified metabolic syndrome who are undergoing noncardiac surgery.

Glance LG, Wissler R, Mukamel DB, Li Y, Diachun CA, Salloum R, Fleming FJ, Dick AW

Anesthesiology.. 2010 October 113 (4):859-72. Epub 1900 01 01.

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.

Fleming FJ, Kim MJ, Salloum RM, Young KC, Monson JR

Diseases of the colon and rectum.. 2010 October 53 (10):1355-60. Epub 1900 01 01.

The management of right iliac fossa pain - is timing everything?

McCartan DP, Fleming FJ, Grace PA

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.. 2010 August 8 (4):211-7. Epub 02/08/2010.

Improvement in educational effectiveness of morbidity and mortality conferences with structured presentation and analysis of complications.

Kim MJ, Fleming FJ, Peters JH, Salloum RM, Monson JR, Eghbali ME

Journal of surgical education.. 2010 67 (6):400-5. Epub 11/05/2010.

Reversal of Hartmann's procedure following acute diverticulitis: is timing everything?

Fleming FJ, Gillen P

International journal of colorectal disease.. 2009 October 24 (10):1219-25. Epub 06/05/2009.

Images in surgery. Richter's hernia at a 5-mm laparoscopic port site.

Fleming F, Winter D

Surgery.. 2009 September 146 (3):523. Epub 09/10/2008.

Fulminant small bowel enteritis: a rare complication of Clostridium difficile-associated disease.

Fleming F, Khursigara N, O'Connell N, Darby S, Waldron D

Inflammatory bowel diseases.. 2009 June 15 (6):801-2. Epub 1900 01 01.

Concomitant ulcerative colitis and rectal cancer in a patient with Gorlin syndrome.

Fleming F, Sheahan K, Winter D

Inflammatory bowel diseases.. 2009 April 15 (4):488-9. Epub 1900 01 01.

Clinical images. Atypical midcycle pain.

Alsinnawi M, Fleming FJ, Kenny BJ, Waldron D

American journal of surgery.. 2009 January 197 (1):e1-2. Epub 08/23/2008.

Current trends in the management of acute appendicitis.

Ng S, Fleming FJ, Drumm J, Waldron D, Grace PA

Irish journal of medical science.. 2008 June 177 (2):121-5. Epub 02/08/2008.

Vascular trauma in an Irish regional hospital.

Abdulkarim A, Fleming FJ, Kavanagh EG, Burke PE, Grace PA

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.. 2008 June 6 (3):157-61. Epub 1900 01 01.

Management and outcome in patients following head injury admitted to an Irish Regional Hospital.

McCartan DP, Fleming FJ, Motherway C, Grace PA

Brain injury. 2008 April 22 (4):305-12. Epub 1900 01 01.

Incidence and prognostic influence of lymph node micrometastases in rectal cancer.

Fleming FJ, Hayanga AJ, Glynn F, Thakore H, Kay E, Gillen P

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.. 2007 October 33 (8):998-1002. Epub 02/06/2007.

Irritable bowel syndrome and negative appendectomy.

Fleming F, Grace P

Gut.. 2007 October 56 (10):1479. Epub 1900 01 01.

Tamoxifen-induced ER-alpha-SRC-3 interaction in HER2 positive human breast cancer; a possible mechanism for ER isoform specific recurrence.

Mc Ilroy M, Fleming FJ, Buggy Y, Hill AD, Young LS

Endocrine-related cancer.. 2006 December 13 (4):1135-45. Epub 1900 01 01.

Identifying patients at risk of compromised margins following breast conservation for lobular carcinoma.

Dillon MF, Hill AD, Fleming FJ, O'Doherty A, Quinn CM, McDermott EW, O'Higgins N

American journal of surgery.. 2006 February 191 (2):201-5. Epub 1900 01 01.

Electronic learning can facilitate student performance in undergraduate surgical education: a prospective observational study.

Healy DG, Fleming FJ, Gilhooley D, Felle P, Wood AE, Gorey T, McDermott EW, Fitzpatrick JM, O'Higgins NJ, Hill AD

BMC medical education.. 2005 June 295 :23. Epub 06/29/2005.

Meralgia paraesthetica following open appendicectomy.

Kavanagh D, Connolly S, Fleming F, Hill AD, McDermott EW, O'Higgens NJ

Irish medical journal.. 2005 June 98 (6):183-5. Epub 1900 01 01.

Inverse relationship between ER-beta and SRC-1 predicts outcome in endocrine-resistant breast cancer.

Myers E, Fleming FJ, Crotty TB, Kelly G, McDermott EW, O'higgins NJ, Hill AD, Young LS

British journal of cancer.. 2004 November 191 (9):1687-93. Epub 1900 01 01.

Expression of SRC-1, AIB1, and PEA3 in HER2 mediated endocrine resistant breast cancer; a predictive role for SRC-1.

Fleming FJ, Myers E, Kelly G, Crotty TB, McDermott EW, O'Higgins NJ, Hill AD, Young LS

Journal of clinical pathology.. 2004 October 57 (10):1069-74. Epub 1900 01 01.

Intraoperative margin assessment and re-excision rate in breast conserving surgery.

Fleming FJ, Hill AD, Mc Dermott EW, O'Doherty A, O'Higgins NJ, Quinn CM

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.. 2004 April 30 (3):233-7. Epub 1900 01 01.

Factors affecting metastases to non-sentinel lymph nodes in breast cancer.

Fleming FJ, Kavanagh D, Crotty TB, Quinn CM, McDermott EW, O'Higgins N, Hill AD

Journal of clinical pathology.. 2004 January 57 (1):73-6. Epub 1900 01 01.

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.

Fleming FJ, Hill AD, McDermott EW, O'Higgins NJ, Young LS

The Journal of clinical endocrinology and metabolism.. 2004 January 89 (1):375-83. Epub 1900 01 01.

Elbow dislocation with ipsilateral open radial and ulnar diaphyseal fractures--a rare combination.

Fleming FJ, Flavin R, Poynton AR, Glynn T

Injury.. 2004 January 35 (1):90-2. Epub 1900 01 01.

Closed treatment of clavicle fractures results in reduced shoulder strength

Flavin, RA; Fleming, F; Shanley, L; Kelly I.

European Journal of Orthopaedic Surgery & Traumatology. 2004; 14(2): 84-88.

Surgical intervention in screen-detected patients versus symptomatic patients with breast cancer.

Dillon MF, Hill AD, Quinn CM, O'Doherty A, Crown J, Fleming FJ, McDermott EW, O'Higgins N

Journal of medical screening.. 2004 11 (3):130-4. Epub 1900 01 01.

Intradermal radioisotope injection optimises sentinel lymph node identification in breast cancer.

Fleming FJ, Hill AD, Kavanagh D, Quinn C, O'Doherty A, Collins CD, McDermott EW, O'Higgins NJ

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.. 2003 December 29 (10):835-8. Epub 1900 01 01.

Diagnostic dilemma--solved by appendicectomy.

Abbasi M, Mahmood S, Fleming F, Carroll K, Wilson I

Irish medical journal.. 2002 June 95 (6):186-7. Epub 1900 01 01.

Patent omphalomesenteric duct presenting as an umbilical discharge.

Fleming F, Ishtiaq A, O'Connor J

Irish medical journal.. 2001 June 94 (6):182. Epub 1900 01 01.

Books

50 Landmark Papers every colorectal surgeon should know (2024)

Authors: Editor

Publisher: Taylor and Francis Group 2024

Difficult Decisions in Surgery: An Evidence-Based Approach. Difficult Decisions in Colorectal Surgery (2023)

Chapter: Can TME be avoided in T2 rectal cancer?

Authors: Loria A, Fleming FJ

Publisher: Springer Nature 2023

The ASCRS Textbook of Colon and Rectal Surgery (2022)

Chapter: Large bowel obstruction

Authors: Feingold Dl, Fleming FJ

Publisher: Springer 2022

Clinical Decision Making in Colorectal Surgery (2020)

Chapter: Proctectomy

Authors: Rickles A, Fleming FJ.

Publisher: Springer 2020

SAGES Manual of Colorectal Surgery (2020)

Chapter: Principles of Complete Mesocolic Excision for Colon cancer

Authors: Paquette IM, Fleming FJ

Publisher: Springer 2020

Ratings & Comments

At URMC, we believe that patients should be empowered to make the right decisions regarding their personal healthcare. To do so, transparency is critical. URMC partners with Press Ganey, to survey our patients about all aspects of their care experience. We are now putting this pertinent information at your fingertips by displaying star ratings for our providers along with anonymous patient comments on our website. This will help you make better-informed choices about how and with whom you seek care. Click here to learn more about the surveys used to generate this vital information. Learn more about our survey process.

Ratings

During this visit, did this provider spend enough time with you?

4.9

During this visit, did this provider show respect for what you had to say?

5.0

During this visit did this provider give you easy to understand information about these health questions or concerns?

4.9

During this visit, did this provider listen carefully to you?

5.0

During this visit, did this provider explain things in a way that was easy to understand?

4.9

Patient Comments

Dr. Fleming was very thorough and answered all my questions. He was obviously well-prepared and had gone through all my outside records. He is engaging and included me in any decision making

Sep 21, 2024

The PA really spent the most time with me. The doctor shook my hand when he came in, spent no more then 2 minutes with me repeating what the PA had said, and shook my hand when he left the room. [...]

Aug 06, 2024

The caretaker took the time to explain and then asked did I have any questions.

Aug 01, 2024

5.0

Straight forward doctors, I like that.

Jun 20, 2024

5.0

[...] Really explained well what I was going through in much more detail and took the time to do so.

Mar 02, 2024

5.0

Dr. Fleming is very easy to talk to and explains things very well.

Jan 11, 2024

5.0

Dr. Fleming was very clear about what I should do to move forward. I look forward to seeing him in the future.

Oct 08, 2023

2.6

Usually I've had a much better time with him. I feel he was running behind and was trying to make up for it by spending as little time as possible with me.

Jun 12, 2023

4.6

Seems very competent!

Apr 19, 2023

5.0

I would highly recommend him and his team they genuinely care

Mar 17, 2023

5.0

Told me all about the problems that could happen

Jan 13, 2023

3.8

I found the Provider to be very competent, etc. [...] I felt I didn't get direct understandable answers to specific IBS-C & D questions. [...]

Nov 26, 2022

5.0

Fleming gave me the best healthcare experience I've had in years. Knowledge about me, my care, and most importantly to me transgender care and how it could impact my surgery decisions 11/10.

Jul 21, 2022

5.0

Highly recommend Dr. Fleming.

Jul 20, 2022

5.0

All personnel were excellent and courteous.

Jul 20, 2022

5.0

This was a post-op visit for surgery in Sept. 2021. It was an unexpectedly difficult surgery. Dr. Fleming is the BEST.

Apr 29, 2022

5.0

I felt heard and validated during my appointment. I left with clear options.

Apr 15, 2022

5.0

All good.

Apr 13, 2022