I've never had problems with a patch, but then again I've never had problems with plugs either, and plugs are infinitely easier to install. I can have a tire plugged in less time than someone can jack their vehicle up and swap in a spare tire.
Punctures are inevitable, so that's something one should prepare for, not react to. I carry a plug kit, pliers, and an inflator in all my vehicles. Heck, I just plugged my segway tire the other day because it has a miniscule leak. It's less effort to plug a tire than to inflate one 3 or more times.
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