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Watch the video above: George Doodnaught sentenced to 10 years for sexual assaults. Mark Carcasole reports.

TORONTO – An anaesthesiologist convicted of sexually assaulting 21 sedated women as they underwent surgery was sentenced to 10 years in prison on Tuesday in what a judge described as a unique case.

Dr. George Doodnaught exploited the extraordinarily high degree of trust the patients placed in him and his conduct was “reprehensible in the extreme,” said Ontario Superior Court Justice David McCombs.

“There are no reported Canadian cases in which an anaesthesiologist sexually assaulted sedated patients in an operating room during surgery,” McCombs said. “His conduct did enormous damage and was reprehensible in the extreme.”

READ MORE: Hospital apologizes to patients after Doodnaught guilty verdict

When Doodnaught was convicted in November, McCombs found the doctor relied on his three decades of operating room experience to avoid detection as he kissed women, fondled their breasts and put his penis in their mouth or hand.

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Doodnaught was known as a “touchy feely” doctor, often stroking a patient’s cheek or hair to soothe them during surgery, so the judge found his physical proximity during surgery didn’t arouse suspicion with other staff even as he sexually assaulted the women while concealed only by a surgical drape.

“The offender’s moral blameworthiness is at the high end of the spectrum,” McCombs said.

Many of Doodnaught’s victims were in court on Tuesday and it was clearly an emotional day for them. Several wiped tears from their eyes as the judge read his sentencing reasons.

READ MORE: George Doodnaught a ‘sexual opportunist’: Crown

After the sentence was handed down, the victims waited in the courtroom to see Doodnaught led out in handcuffs – he had been on bail during the trial – and one woman clapped.

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The victims did not know each other and were unaware of the particulars of other patients’ stories when they separately came forward.

All but one of the assaults took place at the North York General Hospital in Toronto. They became more frequent until Doodnaught was caught, with the first six spread over three and a half years and 15 others in the last six months before he was stopped.

The hospital told Doodnaught to take a leave of absence after the last woman he assaulted went to police.

His medical licence was suspended but the College of Physicians and Surgeons still has to hold a disciplinary hearing which could lead to it being revoked.

The hospital’s CEO has apologized on behalf of the medical facility to all of the victims for the impact Doodnaught’s crimes had on their lives. The hospital has since made changes to how it addresses and tracks patient complaints.

Doodnaught’s lawyer said he will appeal the convictions.

“Obviously he’s disappointed,” said Brian Greenspan. “He continues to enjoy widespread support not only with his family but amongst his colleagues, patients.”