A British surgeon who burned his initials into patients' livers during transplant operations has been fined 10,000 pounds ($17,350) and ordered to perform community service.
The consultant pleaded guilty to two counts of assault by beating in December after prosecutors accepted his not guilty pleas to charges of assault occasioning actual bodily harm.
Bramhall, 53, resigned from the Queen Elizabeth Hospital in Birmingham, about 110 miles (175 km) northwest of London, in 2014.
In a victim's impact statement, she said: "These obscene actions seemed nearly too farcical to have actually happened".
The eminent doctor described as one of the leading surgeon's in his medical field appeared for sentencing at Birmingham Crown Court on January 12 after he admitted two charges of assault at an earlier court appearance, claiming his actions were created to relieve tension during surgery.
Birmingham Crown Court heard how one of the victims was left feeling "violated" and still suffers extreme psychological harm.
"And no greater vulnerability than that of a patient who's under general anaesthetic and the breach of that trust and the abuse of that power were aggravating features that led us to conclude it was the right thing to do to take this case forward".
Bramhall's actions came to light when one of the patients had further surgery a week later.
The offence of assault by beating was brought against Bramhall to reflect the act of marking the liver and there is no suggestion he was responsible for physically "beating" either patient.
He said: "I accept that on both occasions you were exhausted and stressed and I accept that this may have affected your judgement.This was conduct born of professional arrogance of such magnitude that it strayed into criminal behaviour". This was conduct born of professional arrogance of such magnitude that it strayed into criminal behaviour.
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"It was what I would imagine the feeling is for someone who is a victim of rape".
"I was meant to be undergoing a life-saving operation".
Simon Bramhall, who was supported in court by former patients, said his actions were an attempt to relieve tension during surgery. "Why did he think that it was appropriate to do this to me?"
One of Bramhall's branded patients, an unnamed woman, wrote a victim impact statement shared during the sentencing hearing, The Mirror reports.
"Because of my ordeal, my trust in doctors has been destroyed".
"I will forever believe in my mind that his branding caused or contributed to the failure of the transplanted liver".
One of the patients supporting the surgeon was Barbara Moss, who was given just three months to live in 2006 when Simon Bramhall told her he would operate on a 15cm tumour.
A nurse who saw the initialling queried what had happened and Bramhall was said to have replied: "I do this".
Bramhall worked at Queen Elizabeth Hospital in Birmingham for 12 years before he quit.