use strict;
my $str = '<a href=\'{{url}}\'>Link</a>
<p>This text {{urlAltTag}} will not get replaced</p>
<a href=\'{{urlAltTag}}\' download=\'true\'>Another Link</a>';
my $regex = qr/(?<=href=')()(?={{.*}})/p;
my $subst = 'https://myurl.com?redirect=\\1';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html