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In geometric topology, surgery theory is used to produce one finite-dimensional manifold from another in a 'controlled' way. Originally developed for differentiable (smooth) manifolds, surgery techniques also apply to piecewise linear and topological manifolds. Surgery refers to cutting out parts of the manifold and replacing it with a part of another manifold, matching up along the cut or boundary. This is related to handlebody decompositions.

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Mapping class groups in high dimension

Let me assume that M is at least 5-dimensional. Sullivan's proof only uses surgery theory and properties of O(n) that also hold for Top(n), so the answer to your first question is yes. Regarding your …
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