Maybe think of it like the end of a balloon. You use the end to blow in air to fill it up. Humans use the umbilical to ‘blow in’ nutrients and blood and stuff. Then at the end you tie off the balloon, or cut the umbilical.
If you tie it off you can’t really remove the knot per se. To ‘remove’ it you’d really need to remold the rubber and make a new flat surface. To do that your belly button would need to heal in a different way and for no clearly perceivable benefit.
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