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Patients' independence in SC at discharge increased from 8% to 68%, p less then 0.001. CONCLUSION This study shows that a clinical 4-day in-hospital educational stoma pathway is feasible and effective in increasing the LOI in SC of new stoma patients and significantly reducing their need for HNCS. Cost-benefit analysis and applicability of this pathway in multicentre settings are currently being investigated. This article is protected by copyright. All rights reserved.Small bowel obstruction through a defect in the broad ligament is