It doesn't much sense to say that forming a hydrate, for instance, is not synthetically useful- and that's why it doesn't happen.
It's not that it doesn't happen, it does, the thing to understand is that it is reversible. If hydration is not a step in a pathway that leads to a stable product, then it is unproductive.
If you were to treat a ketone with Na
18OD in D
218O - i.e. aqueous sodium hydroxide with isotopically labelled O and H, you would see incorporation of
18O in the carbonyl (via hydration-dehydration)
and D incorporation at the α-position (via deprotonation/deuteration).
If I have a ketone + an OH-, it seems like either a hydrate or an enolate could result.
Both occur, and both are reversible. The result of each will usually only be apparent if they are steps in productive pathways.
If I have a ketone + -OCH3, it seems like either an acetal or an enolate could result.
A hemiacetal, not an acetal. Again reversible. Non-cyclic hemiacetals are usually not stable enough to be isolated.