\(A=\left(\dfrac{x-1}{x\left(x-2\right)}+\dfrac{x+1}{x\left(x+2\right)}-\dfrac{4}{x\left(x-2\right)\left(x+2\right)}\right)\cdot\dfrac{x\left(x-3\right)}{2\left(x+2\right)}\)
\(=\dfrac{x^2+x-2+x^2-x+2-4}{x\left(x-2\right)\left(x+2\right)}\cdot\dfrac{x\left(x-3\right)}{2\left(x+2\right)}\)
\(=\dfrac{2x^2-4}{x\left(x-2\right)\left(x+2\right)}\cdot\dfrac{x\left(x-3\right)}{2\left(x+2\right)}\)
\(=\dfrac{2x\left(x^2-2\right)\left(x-3\right)}{2x\left(x-2\right)\cdot\left(x+2\right)^2}=\dfrac{\left(x^2-2\right)\left(x-3\right)}{\left(x-2\right)\left(x+2\right)^2}\)