“…However, no recent study was found that aimed to evaluate the impact of different nutritional states and the evolution of overall outcomes of inguinal hernia repair. Similarly, in order to improve the quality of the evidence in surgery, more robust studies should be conducted in low- and middle-income countries, and to assess whether the behavior is similar or whether there are previously undescribed factors that may influence the quality of the evidence [ [49] , [50] , [51] ]. There is also a need for eco-epidemiological studies and genomic analyses [ 49 ], which will facilitate the understanding of the difference in risk between the different subgroups, and the recurrence or overall risk that certain individuals have, since they have higher rates of both intraoperative and post-operative complications.…”