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\frac{\frac{x^{2}-4x+4}{\left(x+3\right)^{2}}+1}{\frac{x-2}{x+3}}
Factor x^{2}+6x+9.
\frac{\frac{x^{2}-4x+4}{\left(x+3\right)^{2}}+\frac{\left(x+3\right)^{2}}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
To add or subtract expressions, expand them to make their denominators the same. Multiply 1 times \frac{\left(x+3\right)^{2}}{\left(x+3\right)^{2}}.
\frac{\frac{x^{2}-4x+4+\left(x+3\right)^{2}}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
Since \frac{x^{2}-4x+4}{\left(x+3\right)^{2}} and \frac{\left(x+3\right)^{2}}{\left(x+3\right)^{2}} have the same denominator, add them by adding their numerators.
\frac{\frac{x^{2}-4x+4+x^{2}+6x+9}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
Do the multiplications in x^{2}-4x+4+\left(x+3\right)^{2}.
\frac{\frac{2x^{2}+2x+13}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
Combine like terms in x^{2}-4x+4+x^{2}+6x+9.
\frac{\left(2x^{2}+2x+13\right)\left(x+3\right)}{\left(x+3\right)^{2}\left(x-2\right)}
Divide \frac{2x^{2}+2x+13}{\left(x+3\right)^{2}} by \frac{x-2}{x+3} by multiplying \frac{2x^{2}+2x+13}{\left(x+3\right)^{2}} by the reciprocal of \frac{x-2}{x+3}.
\frac{2x^{2}+2x+13}{\left(x-2\right)\left(x+3\right)}
Cancel out x+3 in both numerator and denominator.
\frac{2x^{2}+2x+13}{x^{2}+x-6}
Use the distributive property to multiply x-2 by x+3 and combine like terms.
\frac{\frac{x^{2}-4x+4}{\left(x+3\right)^{2}}+1}{\frac{x-2}{x+3}}
Factor x^{2}+6x+9.
\frac{\frac{x^{2}-4x+4}{\left(x+3\right)^{2}}+\frac{\left(x+3\right)^{2}}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
To add or subtract expressions, expand them to make their denominators the same. Multiply 1 times \frac{\left(x+3\right)^{2}}{\left(x+3\right)^{2}}.
\frac{\frac{x^{2}-4x+4+\left(x+3\right)^{2}}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
Since \frac{x^{2}-4x+4}{\left(x+3\right)^{2}} and \frac{\left(x+3\right)^{2}}{\left(x+3\right)^{2}} have the same denominator, add them by adding their numerators.
\frac{\frac{x^{2}-4x+4+x^{2}+6x+9}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
Do the multiplications in x^{2}-4x+4+\left(x+3\right)^{2}.
\frac{\frac{2x^{2}+2x+13}{\left(x+3\right)^{2}}}{\frac{x-2}{x+3}}
Combine like terms in x^{2}-4x+4+x^{2}+6x+9.
\frac{\left(2x^{2}+2x+13\right)\left(x+3\right)}{\left(x+3\right)^{2}\left(x-2\right)}
Divide \frac{2x^{2}+2x+13}{\left(x+3\right)^{2}} by \frac{x-2}{x+3} by multiplying \frac{2x^{2}+2x+13}{\left(x+3\right)^{2}} by the reciprocal of \frac{x-2}{x+3}.
\frac{2x^{2}+2x+13}{\left(x-2\right)\left(x+3\right)}
Cancel out x+3 in both numerator and denominator.
\frac{2x^{2}+2x+13}{x^{2}+x-6}
Use the distributive property to multiply x-2 by x+3 and combine like terms.