Conclusion  We describe a laparoscopic technique to repair this difficult diaphragmatic hernia used in four patients, with a good clinical and computed tomographic outcome at 12 months. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10029-009-0551-9Authors F. E. Muysoms, AZ Maria Middelares Department of General and Cardiovascular Surgery Kortrijksesteenweg 1026 9000 Ghent BelgiumK. K. J. Cathenis, AZ Maria Middelares Department of General and Cardiovascular Surgery Kortrijksesteenweg 1026 9000 Ghent BelgiumR. P. H. M. Hamerlijnck, AZ Maria Middelares Department of General and Cardiovascular Surgery Kortrijksesteenweg 1026 9000 Ghent BelgiumD. A. B. Claeys, AZ Maria Middelares Department of General and Cardiovascular Surgery Kortrijksesteenweg 10...