A surgeon burnt his initials on a patient's liver after conducting a hard transplant in a "naive and foolhardy" attempt to relieve tension in the operating theatre, a court heard.
'I accept that you didn't intend or foresee anything but the most trivial of harm would be caused'. What was Simon Bramhall thinking of?
Bramhall, who resigned from his post at the Queen Elizabeth in May 2014 and went on to work at another health trust, was sentenced by Judge Paul Farrer QC.
After Bramhall's pleas were entered, prosecutor Tony Badenoch QC described the case as "without legal precedent in criminal law" and said the offences were committed in the presence of medical colleagues.
She said her trust in doctors had been destroyed, adding: "My lack of trust in the doctors made me question what could have gone wrong with my new liver". I genuinely believe that the failure of the liver was due to the actions of Simon Bramhall burning his initials on to it.
The surgeon pleaded not guilty to alternative charges of assault occasioning actual bodily harm.
The Crown Prosecution Service (CPS) said Bramhall marked his initials on the patients" livers without their consent "for no clinical reason' using a medical instrument created to seal bleeding blood vessels.
One of the victims, referred to in court as Patient A, received a donor organ in 2013 in a life-saving operation carried out by Bramhall.
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It was only when one of the livers failed - for reasons unconnected to Bramhall's actions - another surgeon discovered "SB" burnt onto it and took a photo of the 4cm mark.
Bramhall, 53, used an argon beam coagulator, which seals bleeding blood vessels with an electric beam, to mark his initials on the organs.
Bramhall hid his face as he walked into court ahead of an earlier hearing.
The hospital said burning his initials into the livers had "no impact whatsoever" on the success of the operations.
"It was what I would imagine the feeling is for someone who is a victim of rape", she said.
"He knew that the action could cause no harm to the patient".
Defense attorneys argued Bramhall's acts were a "naïve and foolhardy" attempt on his part to relieve the tension of multiple operations, the BBC reported.
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".
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