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.
Simon Bramhall pleaded guilty to two counts of assault at Birmingham Crown Court in a case the prosecution said was "without legal precedent in criminal law".
He will be sentenced on January 12.
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.
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The newspaper said the instrument used to mark the patients, an argon beam coagulator, typically does not leave permanent scars.
Surgeons use argon beams to stop livers from bleeding, but can also use the beams to burn the organs' surfaces to sketch out the area of an operation.
It is not believed to have been harmful to the organs. The two incidents of assault took place on February 9 and August 21 of 2013.
"I had a disciplinary meeting on 15 May". "I made the decision on 16 May I would hand in my notice".
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Patient Concern's Joyce Robins said at the time: "This is a patient we are talking about, not an autograph book".
Prosecutor Tony Badenoch called Bramhall's actions "an intentional application of unlawful force to a patient whilst anesthetized".
"It was done in the presence of colleagues".
Bramhall - who now works at another United Kingdom hospital - will be sentenced at the same court on 12 January and faces a maximum penalty of six months in prison and/or a fine.
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