A well-known and respected surgeon who admitted burning his initials onto the livers of two patients during transplant operations has been sentenced.
Bramhall, of Tarrington, Herefordshire, 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, used a jet of argon gas - used for sealing blood vessels - to sign the organs.
The University Hospitals Birmingham NHS Foundation Trust said: "The Trust is clear that Mr Bramhall made a mistake in the context of a complex clinical situation and this has been dealt with via the appropriate authorities, including the Trust as his then employer".
Judge Paul Farrer told Bramhall: "This was conduct born of professional arrogance of such magnitude that it strayed into criminal behaviour".
The matter did not go away, and in December 2017, the surgeon pled guilty to two counts of assault by beating for the two branding incidents that took place on February 9 and August 21, 2013.
Birmingham Crown Court earlier heard that the surgeon's actions were a "naive and foolhardy" attempt to relieve tension after two hard transplant operations.
Opening the facts of the case against Bramhall, Tony Badenoch QC, prosecuting, said one of the surgeon's victims had been left feeling "violated" and suffering psychological harm.
Simon Bramhall, the British surgeon who branded his initials onto patients' livers during transplant surgeries at least twice, has been ordered to do 120 hours of community service and pay £10,000 (more than $13,600). "I accept that you didn't intend or foresee anything but the most trivial of harm would be caused".
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According to a BBC report, Bramhall is still employed with the National Health Service in another city, but could face additional censure, including the possibility of losing his licence, when his case is reviewed by British medical regulators.
She originally read about Bramhall's actions in the media, before discovering that she was the victim concerned.
He said a nurse working on the second operation saw him marking the organ but when she asked what he was doing, he said: "This is what I do".
"I was meant to be undergoing a life saving operation".
Undated handout photo issued by West Midlands Police of Simon Bramhall. Was it because I am foreign?
"Because of my ordeal, my trust in doctors has been destroyed".
He was found out when a colleague spotted the "SB" mark in a new operation after one transplant failed.
"I was so grateful to the medical team who put me on the urgent transplant list so quickly".