On the axioms for adhesive and quasiadhesive categories
  A category is adhesive if it has all pullbacks, all pushouts along monomorphisms, and all exactness conditions between pullbacks and pushouts along monomorphisms which hold in a topos. This condition can be modified by considering only pushouts along regular monomorphisms, or by asking only for the exactness conditions which hold in a quasitopos. We prove four characterization theorems dealing with adhesive categories and their variants. 
Richard Garner and Stephen Lack
math.CT