Surgeon marked initials on patients' livers

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A twisted British surgeon literally left his mark on two patients - using a laser beam to carve his initials onto their livers during transplant operations, according to reports.

Bramhall pled guilty at the Birmingham Crown Court on Wednesday, but pled not guilty to assault causing actual bodily harm.

Prosecutor Tony Badenoch said it was a "highly unusual and complex case, both within the expert medical testimony served by both sides and in law". He is due to be sentenced January 12 at Birmingham Crown Court in central England. The two incidents of assault took place on February 9 and August 21 of 2013.

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The 53-year-old resigned from Queen Elizabeth Hospital in Birmingham in 2014, after another doctor discovered the initials during a follow-up surgery on one of Bramhall's patients.

Liver surgeons use an argon beam to stop livers bleeding, but can also use it to burn the surface of the liver to sketch out the area of an operation.

Its likely Dr Bramhall believed his initials would disappear as the patient healed due to the fact the argon beam doesn't damage the liver and its marks do disappear eventually.

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Badenoch said that what Bramhall had done was not isolated and required "some skill and concentration", done in the presence of colleagues and "with a disregard for the feelings of unconscious patients".

Prior to his resignation, Bramhall was a renowned liver, spleen and pancreas surgeon, who had attracted media attention for his successful transplants. Scriven said. "I wouldn't have cared if he did it to me". "His acts in marking the livers of those patients were deliberate and conscious acts".

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