Post-Surgery Concerns: Recovery After Hernia Repair

Postoperative care for hernia surgery?

Thank you for your response, doctor.
I live in Taoyuan.
May I ask you a few questions? After open mesh inguinal hernia surgery: 1) Ten days post-surgery, my white blood cell count is 10.99, with neutrophils at 88.4% and lymphocytes at 7.7%, resulting in a neutrophil-to-lymphocyte ratio (NLR) of 11.48.
How long does it typically take for these values to start returning to normal? (Previously, my annual white blood cell count was around 6.5, with neutrophils at 60% and lymphocytes at 30%.) 2) My testosterone level was 600 pre-surgery and is now 169 ten days post-surgery.
Is this normal? (The surgeon made an additional incision in the scrotum to address scrotal swelling.) Thank you.

cc, 40~49 year old female. Ask Date: 2023/03/02

Dr. Chen Bingze reply Surgery

Hello, regarding the issue you mentioned, since you have just undergone surgery, I believe it would be best to monitor these data for now.
However, the persistent stabbing pain you are experiencing really needs to be addressed as a priority.

Reply Date: 2023/03/02

More Info

After undergoing hernia repair surgery, particularly with the use of a mesh or plug, it's common for patients to have concerns about their recovery process. Your questions about white blood cell counts and testosterone levels post-surgery are valid and reflect a keen interest in understanding your body's healing response.

1. White Blood Cell Count and Recovery:
After surgery, it is not unusual for the white blood cell (WBC) count to be elevated. This is often a response to the surgical stress and potential inflammation in the body. A WBC count of 10.99, with a neutrophil percentage of 88.4%, indicates a possible inflammatory response, which is common after surgery. The neutrophil-to-lymphocyte ratio (NLR) you mentioned (11.48) is also elevated, suggesting that your body is still in a state of recovery. Typically, WBC counts should start to normalize within a few days to weeks post-surgery, depending on the individual's overall health, the extent of the surgery, and any complications that may arise. It’s essential to follow up with your healthcare provider to monitor these levels, especially if they remain elevated beyond a couple of weeks.

2. Testosterone Levels Post-Surgery:
The drop in testosterone levels from 600 pre-surgery to 169 post-surgery can be concerning. Surgical stress, especially involving the groin area, can impact hormone levels temporarily. The incision made in the scrotal area during the surgery could also contribute to this fluctuation. Hormonal levels can take time to stabilize after surgery, and it is not uncommon for testosterone levels to decrease due to stress, pain, or changes in physical activity levels. It’s advisable to discuss these results with your physician, who may recommend monitoring your testosterone levels over time to see if they return to baseline.

Additional Considerations for Recovery:
- Pain Management: Post-operative pain is common, and managing it effectively can aid in recovery. Ensure you are following your doctor's recommendations regarding pain relief.

- Activity Level: Gradual return to normal activities is crucial. Avoid heavy lifting or strenuous activities until cleared by your surgeon, as these can strain the surgical site and delay healing.

- Signs of Complications: Be vigilant for signs of infection (increased redness, swelling, warmth, or discharge at the surgical site), persistent fever, or any unusual symptoms that may indicate complications.

- Follow-Up Appointments: Regular follow-ups with your surgeon are essential to monitor your recovery progress and address any concerns you may have.

In summary, while some fluctuations in white blood cell and testosterone levels are expected after surgery, it is important to maintain open communication with your healthcare provider. They can provide personalized advice based on your specific situation and help ensure a smooth recovery process. If you have any further concerns or if your symptoms do not improve, do not hesitate to seek medical advice.

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