How would you treat a monopolar injury to the bowel if there is no obvious defect in the intestinal wall?

Depending on extent of injury, intervention would be different. However, if it’s an incidental thermal “kiss” (<3-4mm), I would put a few imbricating stitches in the seromuscular layer to oversew the injury.

For very minor cautery injury to small bowel, I generally reinforce the area with interrupted sutures. For more significant injuries, I recommend the urologist acquire an intraoperative consultation with a general surgeon for expert assessment.