Suppose two solid
handlebodies, each of genus r, are disjointly embedded in S3. If the interiors of the
handlebodies are removed and the boundary components of the remaining space are
identified via an orientation reversing homeomorphism, then a closed connected
orientable 3-manifold results. Such a manifold is called a sewn-up r-link exterior. The
main result of this paper is that a closed connected orientable 3-manifold M can be
realized as a sewn-up r-link exterior if and only if the first homology of M is
infinite.
The extend to which this theorem can be used to demonstrate Property R for
knots is discussed.