I used to be a theatre technician in an operating theatre in the south east. One night I was called in for an emergency appendicitis operation on a 13 year old girl. The locom surgeon was new to me, and he proceeded to made a very small incision. This he then found he was unable to proceed. He then made a much larger incision, and proceeded with the operation. With the intestines partially out he then started to push them back in using two Spencer Wells? ( He ripped the intestines). We asked him to stop, but he refused. We rang the registrar who said he would come in. But he was not in time to stop this and a few days later the child died. It was found that the locom was not qualified and had bought his certificates. He was in fact a nurse from India.