Approval Workflow Integration between MS Form and Azure DevOps

Could any one please help me with the below requirement?

I have an updated requirement: I need to establish an approval workflow that precedes the creation of a work item on Azure DevOps upon the submission of an MS Form. The process should follow these steps:

MS Form Submission: When a user submits an MS Form, triggering the workflow.
Approval Flow Initiation: An approval flow is triggered upon form submission.
Automatic Approval or Rejection:

If the approval is marked as Approved:

Proceed to create the work item in Azure DevOps.
Send an email notification regarding the Approval and Work item creation on Azure Devops

If the approval is Rejected:

Send an email notification regarding the rejection.

Additional Requirement: Region-based Approvers

Furthermore, when a user selects a region in the MS Form, the corresponding approver for that region should be automatically assigned. The MS Form should hide the approver's name, and instead, offer a selection of regions:

Region Selection: User chooses a region from a list provided in the MS Form.
Automated Approvers: The selected region automatically determines the assigned approver behind the scenes.
Additionally: The attachments (any files) submitted via MS form should get uploaded to Azure Devops Work item

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