In 1956, Papakyriakopoulos proved Dehn's lemma, loop theorem and the sphere theorem. The proofs are based on a clever technique called "tower construction". Later, Whitehead, Shaprio, Stalling and Epstein adapted this idea to generalize the theorems, but still in the realm of 3-manifolds.
Are there any (relatively direct) generalizations in dimension at least 4?
Similar concepts to Dehn's lemma and the loop theorem have been explored. For instance, the h-cobordism theorem, especially in the context of simply connected manifolds, can be viewed as a generalization of ideas related to Dehn's lemma. One can also argue that the sphere theorem is related to surgery theory. But it seems all of them are far-reaching. Perhaps a clear-cut generalization is impossible. I would also appreciate if someone could shed some light on this.