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The patch and plug technique is a surgical method used to repair inguinal hernias. It involves: 1. Patch: A synthetic mesh patch is placed over the hernia defect, reinforcing the weakened area. 2. Plug: A small, cone-shaped mesh plug is inserted into the hernia defect, anchoring the patch in place. Steps: 1. Dissection: The hernia sac is dissected and reduced. 2. Patch placement: The mesh patch is placed over the defect, overlapping healthy tissue. 3. Plug insertion: The mesh plug is inserted into the defect, securing the patch. 4. Fixation: The patch and plug are fixed in place with sutures or tacks. Advantages: 1. Minimally invasive 2. Quick recovery 3. Low recurrence rate 4. Can be performed under local anesthesia Indications: 1. Small to medium-sized inguinal hernias 2. Primary or recurrent hernias 3. Patients with low to moderate risk of recurrence Contraindications: 1. Large or complex hernias 2. Patients with significant tissue weakness or defects 3. Recurrent hernias with multiple previous repairs The patch and plug technique is a popular method for inguinal hernia repair due to its simplicity, effectiveness, and low complication rate. However, the choice of technique depends on the individual patient and surgeon preference. #Herniarepair