For emergencies, call 0714 259 930 or visit our 24/7 Emergency Unit

Surgical

Precision, Compassion, and Excellence in Surgical Care

About the Department

The Surgical Department at Nyeri County Referral Hospital (NCRH) is a critical pillar of the hospital’s clinical services, providing both elective and emergency surgical interventions to patients across the region. With a skilled multidisciplinary team and well-equipped theatres, the department handles a wide range of surgical cases including general surgery, urology, gastrointestinal, breast, thyroid, and soft tissue surgeries. Through a patient-centered approach, adherence to clinical protocols, and continuous staff development, the department ensures timely and high-quality surgical care aligned with national and international standards.

Mission & Vision

  • Mission: To deliver safe, timely, and effective surgical services that improve health outcomes through skilled intervention, innovation, and compassionate care.

  • Vision: To be a leading regional surgical centre recognized for surgical excellence, research, and training.

Team & Structure

  • Consultant General Surgeon (Head of Department)

  • Senior Medical Officers – 2

  • Clinical Officers – 3 (Surgical Specialty)

  • Theatre Nurses – Assigned from Perioperative Department

  • Surgical Ward Nurses – Day & Night Shift

  • Medical Students & Interns – Under supervision during rounds and procedures

  • Support Staff – Ward attendants, record clerks, and sanitary personnel

Core Surgical Services

  • Outpatient Surgical Clinics – Evaluation of surgical conditions, follow-up of operated patients, minor procedures

  • Elective Surgeries – Herniorrhaphy, mastectomy, thyroidectomy, appendectomy, cholecystectomy, hydrocelectomy, etc.

  • Emergency Surgeries – Exploratory laparotomy, intestinal obstruction, ruptured appendix, trauma surgery

  • Urological Procedures – Circumcision, prostatectomy, urethral dilatation, cystostomy

  • Soft Tissue Procedures – Abscess drainage, wound debridement, lipoma removal

  • Biopsy Services – Lymph node, breast, thyroid and abdominal mass biopsies for histopathology

  • Colostomy Formation & Reversal – For bowel diversion in cases of obstruction or injury

  • Wound Care & Postoperative Management – Dressing changes, physiotherapy referrals, infection control

Facilities & Equipment

  • Fully equipped main operating theatres – 3

  • Sterile Processing Department (CSSD) – For equipment sterilization

  • Surgical Outpatient Clinic Rooms – For minor procedures and reviews

  • Dedicated Male & Female Surgical Wards – With post-operative monitoring capability

  • Ultrasound, X-ray, and CT Scan support – For preoperative and intraoperative imaging

Patient Workflow & Clinic Days

  • Monday to Friday – Surgical OPD clinics (Room 10)

  • Patients with elective surgical needs are assessed and scheduled

  • Emergency cases admitted via Casualty Department and prioritized for theatre

  • Postoperative patients reviewed during ward rounds or scheduled follow-ups

Training & Research

  • Supervision of medical officer interns, clinical officer interns, and medical students during rotations

  • Participation in clinical audits, mortality and morbidity meetings

  • Collaboration with surgical societies for skills development and surgical research

Patient Safety & Quality Standards

  • WHO Surgical Safety Checklist implementation

  • Pre-anesthesia and postoperative care protocols

  • Strict infection prevention and control (IPC) adherence

  • Blood transfusion safety protocols in collaboration with the Blood Bank

  • Multidisciplinary perioperative approach with anesthesia, nursing, and critical care

Referral Pathways

  • Referral from OPD, Casualty, or County Clinics

  • Linkages to Kenyatta National Hospital or teaching hospitals for complex or oncologic surgeries

  • Coordination with Oncology, Radiology, and Laboratory departments for multidisciplinary cases

Why Choose Us

  • Experienced surgical team with a strong safety record

  • Timely emergency and elective surgical services

  • State-of-the-art theatre facilities and diagnostics

  • Compassionate and skilled perioperative nursing care

  • Strong post-op follow-up and patient education programs

Contact

Visit the Surgical Department through Room 10 (OPD Wing) for consultations. Emergency cases are admitted via Casualty. Operating Theatres are located behind Ward 4. To schedule an elective procedure or follow-up, call (+254) 0724 249 693. Surgical Clinics run Monday to Friday, 8:00 AM – 4:00 PM.
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