Hello and welcome to HCM
What I understand from your history that the your WBC
counts are very high.
The number of segmented cells (Neutrophils) are also very high.
The increase in neutrophils is commonly seen in infections- the bacterial infections.
First and foremost these infections need to be ruled out.
I would also like to know the time elapsed between your surgery and the blood sample taken as blood loss during surgery may transiently increase neutrophil counts.
Besides infections and blood loss certain neoplastic conditions are also known to cause an increase neutrophils like chronic neutrophilic leukemia
Keeping your history in view I would like to advice you to clonal studies to rule out malignancy if no other common causes are found.
Thanks and take care
Dr Shailja P Wahal