West Ham head of medical Stijn Vandenbroucke has updated WHUFC.com with the status of four first team players who have all over gone surgery

Vandenbroucke explains Mark Noble had a significant surgery to rectify a double hernia problem on Saturday and, after spending a period in Spire Roding Hospital, he remains in a lot of pain but is now having a period of rest at home.

Winston Reid also had a successful surgery this week to rectify a chronic problem that he has been playing with in the background for some time.

Cheikhou Kouyate had surgery on a chronic problem with his wrist which means we had to reconstruct a ligament in his wrist. The operation was successful, like Winston and Mark’s, and Cheikhou will now spend eight weeks in a cast.

Unfortunately, this means Winston will be unable to play in the FIFA Confederations Cup, while Cheikhou will not be available to captain Senegal in Africa Cup of Nations qualifiers.

Michail Antonio is already out of the brace he was wearing after the surgery. He is progressing very well with his physiotherapist Dom Rogan. He will go on holiday with a physio and he is also getting married, but Michail will be in at Rush Green working on his rehab over the summer.

Pedro Obiang is a top professional and is working with our top physio Frazer Young on his rehab on his knee and he is on schedule to return for the start of pre-season.

Finally, Diafra Sakho has suffered a setback with his back. Because of the complexity of the problem, we saw the specialist in France and decided to give him a period of rest, so he will return early in June to prepare for next season.