With a high potential impact, a significant progress has been achieved in the field of adhesive hydrogels, considerably around supramolecular adhesive hydrogels with inherent applications to the tissue engineering. In this regard, an exhaustive review of structural strategies for the formation of supramolecular adhesive hydrogels and their application in tissue engineering has been reported by Zhao et al. [
79]. Shin et al., demonstrated the feasibility of bioinspired hyaluronic acid modified with catechol (HA-CA) hydrogel for effective in tissue engineering. Also, they shown the adhesiveness of HA-CA hydrogel [
80]. On the other hand, the outstanding gelation of HA-CA and chitosan modified with catechol (CS-CA) allows obtaining highly cross-linked systems and an enhanced adhesive ability to the tissues [
81].
Due to their dynamism about advances functionality, a key advantage of supplanting stitches with an adhesive is that the adhesive covers an entire wound as a continuum, because conventional suture materials, such as stitches, staples, or wires, are not the ideal choices to achieve minimally invasive surgeries. Other advantages of gluing the tissue are that the method is quick, save surgery time, is inexpensive, does not require stitch removal, and is waterproof [
82]. In this terrain, the designed adhesive should be biocompatible and nonimmunogenic, should comply with the tissue mechanical properties, should develop adhesion over specified time periods, should adhere strongly and, in some cases, the adherence must behave reversibly. The design of hydrogel adhesives is complicated by the inherent nature of these materials, as most of their volume is water and, under physiological conditions, the functional groups needed must have permanent adherence and the covalent junctions are strong and durable; however, they are essentially static and not reversible [
73,
83]. In biomedicine, there is specific interest in adhering hydrogels to tissues for the closure of wounds, sealing of damaged sections of organs [
84]. and the development of stretchable electronics [
85,
86]. In addition, the hydrogels adhesion to hard and dry surfaces is useful for engineering adaptive and responsive devices. By virtue of this, tissue adhesives require interdisciplinary efforts that span chemistry, mechanics, and biology, as the performance of the adhesive is primarily determined by the adhesive’s physicochemical properties, chemical and mechanical interactions with the tissue, host immune response, and local environment characteristics [
87], and of course, often they are not properly developed for specific tissue applications [
88]. Also, it is important to outline that some of mechanical relationships do not apply directly to most biological tissues [
89]. By contrast, anti-adhesion approaches, including the use of impermeable barriers that block fibroblast penetration from surrounding tissues for prevent postoperative adhesion are finally essential, principally to establisher a permanent membrane that can be governed by expanded polytetrafluoroethylene (ePTFE) providing a barrier beneath the sternum reducing the adhesions between the sternum and the epicardium [
90]. Newly, a hydrogel has been developed for uterine applications and prevent adhesion, the compound was developed using 3D printing technology to encapsulate human amnion mesenchymal stem cells (hAMSCs) from a human amniotic membrane. In this setting, using natural biopolymers such as Gel and collagen (Col) and the importance of its unique biocompatibility and biodegradability properties, methacrylated gelatin (GelMA) and methacrylated collagen (ColMA) polymers were synthesized [
91]. In addition, Yang et al., studied the effect of imidazolidinyl urea (IU) content and the molecular weight of PEG on the mechanical properties. The energy dissipation efficiency and shape memory behavior were also investigated. Moreover, they tested the hemolytic activity, cytocompatibility, in vivo retention time, and tissue compatibility of the supramolecular hydrogels [
92].
A comprehensive study directed by Liu and his group was focused using hydroxypropyl-modified α-cyclodextrin (Hy-α-CD) and acrylamide-PEG
20000-acrylamide (ACA-PEG
20000-ACA) to con-struct a polypseudorotaxane with good water solubility. The attraction of this research was that through photo-initiated polymerization of polypseudorotaxane with acrylamide in-situ, for obtain a capped polyrotaxane cross-linked with 1,4-butanediol diglycidyl ether in basic solution to form a slide-ring supramolecular hydrogel that can be stretched to 25.4 times its original length, which recovers rapidly on unloading. Also, these hydrogels Ca
2+-doped are used to prepare wearable strain sensors for monitoring human motion [
95]. In another line of research, hydrogels of peptide-DNA based that are organized into superstructures interlaced that deconstruct upon the addition of molecules or changes in charge density have been well reported. In this regard, experimental simulations suggest that chemically reversible structures can only occur within a limited range of supramolecular cohesive energies [
96].