use strict;
my $str = 'for this. , OK \\"it\\" is,"hmmm", "item "three"", a, yup
one, tw"o, three", "four, five", "six", "s"e,"v,"e,"n", \\"eight, "nine, "ten", eleven';
my $regex = qr/(\h++)|\h*+(?<=[\h,]|^)(?!$|,)((?:[^",\n]|\\.)*?|"(?:[^\\\n"]*+|"[^\\\n"]*"|\\.)*"|[^"\n]+"[^"\n]*)(?=\h*,|$)|"(?:[^",\n]|\\.)*,.*+$/mp;
my $subst = '$2';
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